Active NPI
Amy C. Yeatman, D.O.
- Interventional Pain Medicine Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 46798-021
- Practice address
- 744 S Webster Ave
Green Bay, WI 54301-3505 - Phone
- (920) 431-5607
- NPI assigned
- Nov 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Pain Medicine Physician | 208VP0014X | 46798-021 | WI | Primary |
| Anesthesiology Physician | 207L00000X | 46798-21 | WI |
Addresses
Primary practice location
744 S Webster Ave
Green Bay, WI 54301-3505
Mailing address
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 431-5607
Other names 1
- Dr. Amy C. Chirichetti
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Pain Management
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
744 S Webster Ave
Green Bay, WI 54301-3505
Phone (920) 433-3500
Hospital & facility affiliations
- Bellin Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 46798-021 | WI | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Anesthesia Associates, S.C. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Services of the Fox Valley SC | Anesthesiology | Past | Accepting new patients |
Locations
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
Bin 88848
Milwaukee, WI 53288
Interoperability endpoints
- ayeatman42049@direct.thedacare.org
- ayeatman978502@direct.emplifyhealth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Green Bay, WI
- NPI 1558318410
-
- Anesthesiology Physician
- Oshkosh, WI
- NPI 1750385597
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132963200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440460800000",
"number": "1700869468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-431-5607"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "744 S WEBSTER AVE",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543013505",
"telephone_number": "920-431-5607"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YEATMAN",
"first_name": "AMY",
"middle_name": "C.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-26",
"last_updated": "2015-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "208VP0014X",
"taxonomy_group": "",
"desc": "Pain Medicine, Interventional Pain Medicine",
"state": "WI",
"license": "46798-021",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "46798-21",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "CHIRICHETTI",
"middle_name": "C.",
"prefix": "DR.",
"credential": "D.O.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Green Bay, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.