Active NPI
Amanda Charity Sommerfeldt, MD
- Hospice and Palliative Medicine (Family Medicine) Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- License
- 54768
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 364-3600
- Fax
- (920) 364-3900
- NPI assigned
- Aug 23, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 38512 | IA | |
| Family Medicine Physician | 207Q00000X | 29167 | SC | |
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | 54768 | WI | Primary |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 364-3600
Other practice location 1
1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300
Other practice location 2
710 Riverside Dr
Waupaca, WI 54981-1941
Phone (920) 364-3600
Other practice location 3
2366 Oak Ridge Cir
DE Pere, WI 54115-9207
Phone (920) 338-1111 ext. 1487
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
- Hospice/Palliative Care
- Education
- University of Wisconsin School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1095 Midway Rd
Menasha, WI 54952-1115
Phone (920) 720-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29167 | SC | MD | Family Medicine Physician |
| 54768 | WI | MD | Hospice and Palliative Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thedacare, Incorporated | Family Medicine | Current | Accepting new patients |
| Thedacare Medical Center - Berlin, Inc. | Past | Accepting new patients |
Locations
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800
1095 Midway Rd
Menasha, WI 54952
Phone (920) 720-3700
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229
1405 Mill St
New London, WI 54961
Phone (920) 531-2000
600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000
710 Riverside Dr
Waupaca, WI 54981
Phone (715) 256-3000
Interoperability endpoints
- asommerfeldt323136@direct.thedacare.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.
-
- Family Medicine Physician
- New London, WI
- NPI 1376656959
-
- Critical Access Hospital
- Berlin, WI
- NPI 1760413777
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1013995521
-
- Critical Access Hospital
- Waupaca, WI
- NPI 1710333893
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1740920909
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1497119218
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1689038408
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1831773589
-
- General Acute Care Hospital
- Appleton, WI
- NPI 1902832306
-
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1912721002
-
- General Acute Care Hospital
- Oshkosh, WI
- NPI 1912880329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727654400000",
"number": "1740473651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 NEENAH CTR",
"city": "NEENAH",
"state": "WI",
"postal_code": "549563070",
"telephone_number": "920-364-3600",
"fax_number": "920-364-3900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-364-3600",
"fax_number": "920-364-3900"
}
],
"practiceLocations": [
{
"address_1": "1095 Midway Rd",
"address_purpose": "LOCATION",
"city": "Menasha",
"state": "WI",
"postal_code": "549521115",
"country_code": "US",
"telephone_number": "920-720-2300",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 Riverside Dr",
"address_purpose": "LOCATION",
"city": "Waupaca",
"state": "WI",
"postal_code": "549811941",
"country_code": "US",
"telephone_number": "920-364-3600",
"fax_number": "920-364-3900",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2366 Oak Ridge Cir",
"address_purpose": "LOCATION",
"city": "DE Pere",
"state": "WI",
"postal_code": "541159207",
"country_code": "US",
"telephone_number": "920-338-1111 x1487",
"fax_number": "920-339-5505",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOMMERFELDT",
"first_name": "AMANDA",
"middle_name": "CHARITY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-23",
"last_updated": "2024-09-30",
"certification_date": "2024-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "38512",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "29167",
"primary": false
},
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "WI",
"license": "54768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2024; 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.