Individual provider Active NPI

Amanda Lynn Bacher, APNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Sheboygan, WI
National Provider Identifier
1801587589
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
13963-33 Issued in WI
Practice address
1407 N 8TH St Ste 203
Sheboygan, WI 53081-3400
Phone
(920) 415-0505
NPI assigned
May 15, 2023
Last updated
Sep 22, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 13963-33 WI Primary

Addresses

Primary practice location

1407 N 8TH St Ste 203
Sheboygan, WI 53081-3400

Mailing address

4170 County Road R
Hartford, WI 53027-8839
Phone (262) 477-6404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Clinic and Consultants CurrentSince Apr 1, 2025 Accepting new patients
Life-Span Psychological Services, LLC Past Accepting new patients
The Matthew Project, Inc. Past Accepting new patients

Locations

1407 N 8th St
Ste 203
Sheboygan, WI 53081
Phone (920) 415-0505

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1684108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1801587589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4170 COUNTY ROAD R",
            "city": "HARTFORD",
            "state": "WI",
            "postal_code": "530278839",
            "telephone_number": "262-477-6404",
            "fax_number": "262-397-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 N 8TH ST STE 203",
            "city": "SHEBOYGAN",
            "state": "WI",
            "postal_code": "530813400",
            "telephone_number": "920-415-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACHER",
        "first_name": "AMANDA",
        "middle_name": "LYNN",
        "credential": "APNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-15",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "13963-33",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sheboygan, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.