Amanda Fox

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

14050 Issued in WI

Practice address

2976 Triverton Pike Dr Ste 225
Fitchburg, WI 53711-5840

Phone

(608) 467-2331

NPI assigned

Sep 9, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rockford Psychiatric Medical Services SCGroup PAC ID 6901089515, 154 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rockford Psychiatric Medical Services, S.C.

  • Psychiatry Physician
  • Rockford, IL
  • NPI 1821391442

  WI

  Medicare reassignment Care Compare group
• Ease-of-Mind Mental Health Solution LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fitchburg, WI
  • NPI 1285227868

  Psychiatric/Mental Health

  Medicare reassignment NPD
• New Beginnings Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Fitchburg, WI
  • NPI 1386250561
  Medicare reassignment NPD
• New Beginnings Behavioral Health, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Madison, WI
  • NPI 1184580151
  NPD
• True Health and Performance LLC

  • Chiropractor
  • Edgerton, WI
  • NPI 1255923868
  NPD

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

{
    "created_epoch": "1410220800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689724800000",
    "number": "1962803023",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2976 TRIVERTON PIKE DR STE 225",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115840",
            "telephone_number": "608-467-2331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2976 TRIVERTON PIKE DR STE 225",
            "city": "FITCHBURG",
            "state": "WI",
            "postal_code": "537115840",
            "telephone_number": "608-467-2331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOX",
        "first_name": "AMANDA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-09-09",
        "last_updated": "2023-07-19",
        "certification_date": "2023-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "WI",
            "license": "14050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fitchburg Transit LLC
• Ashley Ann Flesch, PTA
• David Francis Florio, M.D.
• Therese M Foiles, LPN
• Forward Learning Youth and Young Adults
• Jenna E Fox, OTR/L
• Theresa Frankiewicz, RDH
• Asha Fredrick
• Mikayla Marie Freidel, COTA
• Robert Freidel

• Psychiatric/Mental Health Nurse Practitioner in Fitchburg, WI
• Providers in Fitchburg, WI by specialty
• Psychiatric/Mental Health Nurse Practitioner in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2023; 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.

Verify at the official NPI Registry.