Active NPI 1306010004 Individual Practitioner Female Practitioner

Amanda R Smith , APNP

Nurse Practitioner • Appleton, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Amanda Smith, APNP is a certified Nurse Practitioner practicing in Appleton, WI. With approximately 19 years of clinical experience since completing medical education in 2007, Amanda Smith delivers high-quality medical care to the local community at 3916 N INTERTECH CT.

Amanda Smith is affiliated with Primary Care Associates Of Appleton, Ltd and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, hemoglobin a1c level, insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3916 N Intertech Ct

Appleton, WI 549136957

Telephone 9209961000

Associated Practice Facility / Clinic

🏢 Primary Care Associates Of Appleton, Ltd Facility NPI 1659305654

Medicare Profile & Education

Medical School

Other

Graduation Year

2007

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Appleton, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

19 Yrs +9.2 yrs vs City Avg

City Avg: 9.8 Yrs

State Avg: 12.1 Yrs

Regional Practice Density

156 Specialists

Practicing in Appleton, WI (4030 Statewide)

Telehealth Adoption Rate

6.4% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (19 Years) 19 Yrs

Appleton Specialty Average (9.8 Years) 9.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	156	88	$398.00	$101.45
83036 Hemoglobin A1C level	146	79	$78.00	$9.49
36415 Insertion of needle into vein for collection of blood sample	136	76	$19.00	$8.65
82962 Blood glucose (sugar) test performed by hand-held instrument	68	46	$51.00	$3.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	50	$615.00	$143.73
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	56	45	$22.00	$13.11
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	16	15	$125.00	$18.66
95251 Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report	15	15	$185.00	$27.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	122	72	$372.00	$104.15
83036 Hemoglobin A1C level	100	63	$73.00	$9.52
36415 Insertion of needle into vein for collection of blood sample	91	55	$18.00	$8.40
82962 Blood glucose (sugar) test performed by hand-held instrument	74	44	$48.00	$3.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	64	46	$575.00	$145.51
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	19	15	$117.00	$19.00
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$248.00	$72.25

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	100	75	$550.31	$145.22
83036 Hemoglobin A1C level	81	61	$70.22	$9.58
82962 Blood glucose (sugar) test performed by hand-held instrument	75	48	$43.40	$3.20
36415 Insertion of needle into vein for collection of blood sample	66	41	$17.12	$2.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	62	54	$372.53	$104.96
99213 Established patient office or other outpatient visit, typically 15 minutes	23	23	$270.74	$69.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
83036 Hemoglobin A1C level	101	53	$80.00	$9.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	67	48	$435.00	$106.97
99213 Established patient office or other outpatient visit, typically 15 minutes	64	44	$295.00	$75.27
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	57	40	$620.00	$149.33
82962 Blood glucose (sugar) test performed by hand-held instrument	34	26	$27.00	$3.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	123	70	$416.00	$88.60
83036 Hemoglobin A1C level	77	51	$80.00	$9.53
82962 Blood glucose (sugar) test performed by hand-held instrument	46	40	$27.00	$3.18
99213 Established patient office or other outpatient visit, typically 15 minutes	25	21	$281.00	$61.79
99442 Telephone medical discussion with physician, 11-20 minutes	23	22	$240.00	$61.82
99443 Telephone medical discussion with physician, 21-30 minutes	21	18	$310.00	$89.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	14	$590.00	$121.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
82962 Blood glucose (sugar) test performed by hand-held instrument	184	109	$27.00	$3.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	152	86	$393.00	$86.75
83036 Hemoglobin A1C level	144	92	$80.00	$10.29
99213 Established patient office or other outpatient visit, typically 15 minutes	65	54	$265.00	$59.57
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	23	$567.00	$117.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$582.00	$134.86

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	144	85	$374.00	$87.01
83036 Hemoglobin A1C level	130	81	$80.00	$11.31
82962 Blood glucose (sugar) test performed by hand-held instrument	120	76	$27.00	$3.13
99213 Established patient office or other outpatient visit, typically 15 minutes	84	61	$252.00	$58.02
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	30	$543.25	$117.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$554.00	$133.31

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	99	59	$356.00	$87.47
99213 Established patient office or other outpatient visit, typically 15 minutes	50	41	$240.00	$59.37
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	31	$517.09	$117.85

Medical Specialties & State Licenses

CMS Verified: 2022-03-07

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 3318-33

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License WI 3318-33

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1306010004 (WI)

Hospital & Practice Group Affiliations

Primary Care Associates Of Appleton, Ltd

3916 N Intertech Ct, Appleton, WI 549136957

Phone: 9209961000

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

34 Associated Practitioners

Rachel Rockweiler , PA-C

Physician Assistant

NPI 1003328386

Physician Assistant (Certified)

Dr. Michael Van Abel , DO

Family Medicine

NPI 1003445735

Doctor of Osteopathic Medicine (D.O.)

Dr. Stephen Fuller , MD

Family Medicine

NPI 1003802638

Doctor of Medicine (M.D.)

Dr. Samuel Heiks , MD

Family Medicine

NPI 1013176312

Doctor of Medicine (M.D.)

Dr. Stephen Dernlan , MD

Internal Medicine

NPI 1083646608

Doctor of Medicine (M.D.)

Dr. Edward Szabo , MD

Family Medicine

NPI 1093700403

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location March 07, 2022

Registered at 3916 N INTERTECH CT, APPLETON, WI 549136957 (Tel: 9209961000)

📍

Updated Business Mailing Address March 07, 2022

Registered at 3916 N INTERTECH CT, APPLETON, WI 549136957 (Tel: 9209961000)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 23, 2021

Nurse Practitioner (License #3318-33 in WI)

✅

NPI Profile Active December 07, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location December 07, 2016

Registered at 2845 GREENBRIER RD, GREEN BAY, WI 543116519 (Tel: 9202888480)

📍

Updated Business Mailing Address December 07, 2016

Registered at 2845 GREENBRIER RD, GREEN BAY, WI 543116519 (Tel: 9202888480)

👤

Provider Name / Credentials Updated December 07, 2016

Recorded as AMANDA SMITH, APNP

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2016

Nurse Practitioner (License #3318-33 in WI)

🟢

Initial NPI Registration & Enumeration April 15, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1306010004

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 15, 2008

Last Update: March 07, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

3916 N Intertech Ct

Appleton, WI 549136957

Phone: 9209961000

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.