Active NPI
Amy Denise Halanski, MD
- Pediatrics Physician
- Cross Plains, WI
National Provider Identifier
1821063736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 46138
- Practice address
- 4328 Deer Run CT
Cross Plains, WI 53528 - Phone
- (608) 516-7080
- NPI assigned
- Feb 22, 2006
- 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 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | C133581 | CA | |
| Pediatrics Physician | 208000000X | 261526 | MA | |
| Pediatrics Physician | 208000000X | Q8068 | TX | |
| Pediatrics Physician | 208000000X | 276783 | NY | |
| Pediatrics Physician | 208000000X | MD453091 | PA | |
| Pediatrics Physician | 208000000X | 4301076852 | MI | |
| Pediatrics Physician | 208000000X | 25MA09597700 | NJ | |
| Pediatrics Physician | 208000000X | 01074518A | IN | |
| Pediatrics Physician | 208000000X | 53473 | CT | |
| Pediatrics Physician | 208000000X | 64764 | MN | |
| Pediatrics Physician | 208000000X | C1-0011152 | DE | |
| Pediatrics Physician | 208000000X | MD20294 | ME | |
| Pediatrics Physician | 208000000X | MD14794 | RI | |
| Pediatrics Physician | 208000000X | 57630 | AZ | |
| Pediatrics Physician | 208000000X | 46138 | WI | Primary |
Addresses
Primary practice location
4328 Deer Run CT
Cross Plains, WI 53528
Mailing address
4328 Deer Run CT
Cross Plains, WI 53528-9309
Phone (608) 516-7080
Other practice location 1
4328 Deer Run Ct
Cross Plains, WI 53528
Phone (608) 516-7080
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34439500 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 17, 2025 through Nov 17, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 133581 | CA | MD | Marriage & Family Therapist |
| 57630 | AZ | MD | Pediatrics Physician |
| C133581 | CA | MD | Pediatrics Physician |
| 53473 | CT | MD | Pediatrics Physician |
| C1-0011152 | DE | MD | Pediatrics Physician |
| 01074518A | IN | MD | Pediatrics Physician |
| 261526 | MA | MD | Pediatrics Physician |
| MD20294 | ME | MD | Pediatrics Physician |
| 4301076852 | MI | MD | Pediatrics Physician |
| 64764 | MN | MD | Pediatrics Physician |
| 25MA09597700 | NJ | MD | Pediatrics Physician |
| 276783 | NY | MD | Pediatrics Physician |
| MD453091 | PA | MD | Pediatrics Physician |
| MD14794 | RI | MD | Pediatrics Physician |
| Q8068 | TX | MD | Pediatrics Physician |
| 46138 | WI | MD | Pediatrics Physician |
Interoperability endpoints
- amy.halanski@337577483108356.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140566400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566172800000",
"number": "1821063736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4328 DEER RUN CT",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "535289309",
"telephone_number": "608-516-7080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4328 DEER RUN CT",
"city": "CROSS PLAINS",
"state": "WI",
"postal_code": "53528",
"telephone_number": "608-516-7080"
}
],
"practiceLocations": [
{
"address_1": "4328 Deer Run Ct",
"address_purpose": "LOCATION",
"city": "Cross Plains",
"state": "WI",
"postal_code": "53528",
"country_code": "US",
"telephone_number": "608-516-7080",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HALANSKI",
"first_name": "AMY",
"middle_name": "DENISE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-22",
"last_updated": "2019-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "C133581",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MA",
"license": "261526",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "Q8068",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "276783",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "PA",
"license": "MD453091",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "4301076852",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NJ",
"license": "25MA09597700",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IN",
"license": "01074518A",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CT",
"license": "53473",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MN",
"license": "64764",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "DE",
"license": "C1-0011152",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "ME",
"license": "MD20294",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "RI",
"license": "MD14794",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "AZ",
"license": "57630",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WI",
"license": "46138",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34439500",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cross Plains, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.