NPIMap

Individual provider Active NPI

Amy Jeanne Defranco, ARNP

  • Family Nurse Practitioner
  • Black River Falls, WI
National Provider Identifier
1962045393
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
10175-33 Issued in WI
Practice address
502 Main St
Black River Falls, WI 54615-1648
Phone
(715) 284-2003
Fax
(844) 285-4399
NPI assigned
Oct 17, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11003566 FL
Family Nurse Practitioner 363LF0000X 11003566 FL
Family Nurse Practitioner 363LF0000X 10175-33 WI Primary

Addresses

Primary practice location

502 Main St
Black River Falls, WI 54615-1648

Mailing address

10927 Narrow Way
Black River Falls, WI 54616
Phone (715) 418-4279

Other identifiers 1

IdentifierTypeStateIssuer
100103102MedicaidWI

Other names 1

  • Amy Jeanne Szczepanski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713000588 WI Practitioner - Nurse Practitioner 2466697842 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Medford Hospital and Clinics Inc 126 clinicians

Practice addresses (Care Compare)

135 S Gibson St
Medford, WI 54451-1622
Phone (715) 748-8100

Hospital & facility affiliations

  • Aspirus Medford Hospital & Clinics, Inc Hospital, Medford, WI, CCN 521324

Merit-based Incentive Payment System (MIPS)

Final score
86.2 of 100Reported as group
Quality
84.08
Promoting interoperability
100
Improvement activities
40
Cost
64.31

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
97.16
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11003566FLMDFamily Nurse Practitioner
APRN11003566FLMDFamily Nurse Practitioner
10175-33WIMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Langlade Hospital - Hotel Dieu of St. Joseph of Antigo Wisconsin CurrentSince Nov 30, 2023 Accepting new patients
Aspirus Medical Group, Inc. CurrentSince Nov 30, 2023 Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 14, 2024 Accepting new patients
Langlade Hospital - Hotel Dieu of St Joseph of Antigo Wisconsin Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Medford Hospital & Clinics, Inc. CurrentSince Sep 14, 2024 Accepting new patients
East Fountain Chiropractic LLC PastSince Oct 15, 2017 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

112 E 5th Ave
Antigo, WI 54409
Phone (715) 623-2331

143 S Gibson St
Medford, WI 54451
Phone (715) 748-2121

135 S Gibson St
Medford, WI 54451
Phone (715) 748-8100

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1962045393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10927 NARROW WAY",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "54616",
            "telephone_number": "715-418-4279",
            "fax_number": "844-285-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 MAIN ST",
            "city": "BLACK RIVER FALLS",
            "state": "WI",
            "postal_code": "546151648",
            "telephone_number": "715-284-2003",
            "fax_number": "844-285-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEFRANCO",
        "first_name": "AMY",
        "middle_name": "JEANNE",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-17",
        "last_updated": "2021-11-09",
        "certification_date": "2021-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11003566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11003566",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "10175-33",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100103102",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "SZCZEPANSKI",
            "middle_name": "JEANNE",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Black River Falls, WI

Sources for this page

Verify at the official NPI Registry.