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Active NPI 1114597168 Individual Practitioner Female Practitioner

Dr. Amanda Jo Carlson , DNP, FNP-BC

Nurse Practitioner • Greenfield, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Amanda Carlson, DNP, FNP-BC is a certified Nurse Practitioner practicing in Greenfield, WI. With approximately 7 years of clinical experience since graduating from University Of Wisconsin School Of Medicine in 2019, Dr. Carlson delivers high-quality medical care to the local community at 4448 W LOOMIS RD.

Dr. Carlson is affiliated with Lakeshore Medical Clinic Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

4448 W Loomis Rd

Greenfield, WI 532204800

Telephone 4142815150
Associated Practice Facility / Clinic
🏢 Wisconsin Health Center Llc Facility NPI 1528083110

Medicare Profile & Education

Medical School

University Of Wisconsin School Of Medicine

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Greenfield, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -1.3 yrs vs City Avg
City Avg: 8.3 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
49 Specialists

Practicing in Greenfield, WI (4030 Statewide)

Telehealth Adoption Rate
12.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
80.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carlson (7 Years) 7 Yrs
Greenfield Specialty Average (8.3 Years) 8.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
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
62 56 $515.00 $99.45
99213 Established patient office or other outpatient visit, typically 15 minutes
51 43 $350.00 $72.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
29 25 $730.17 $135.57

Medical Specialties & State Licenses

CMS Verified: 2026-07-02
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 11274-033

(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 2019053373

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100182065 (WI)

Hospital & Practice Group Affiliations

Lakeshore Medical Clinic Llc

4448 W Loomis Rd, Greenfield, WI 532204800

Phone: 4142815150

Secondary Practice Locations

550 W Frontage Rd

Northfield, IL 600931202

Phone: 8473867744

Practice Associates & Co-Workers

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

21 Associated Practitioners
Susan Hafemann , APNP

Nurse Practitioner

NPI 1013166768

Advanced Practice Nurse Prescriber

Austyn Erickson

Dietitian, Registered

NPI 1073189064
NPI 1073773453

MACCCA

Dr. Rita Schulz , MD

Family Medicine

NPI 1083789820

Doctor of Medicine (M.D.)

NPI 1083793954

Doctor of Medicine (M.D.)

Dr. Venkata Thota , MD

Family Medicine

NPI 1134183783

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 02, 2026

Nurse Practitioner (License #11274-033 in WI)

👤
Provider Name / Credentials Updated December 12, 2025

Recorded as AMANDA CARLSON, DNP, FNP-BC

📍
Updated Practice Location January 17, 2024

Registered at 4448 W LOOMIS RD, GREENFIELD, WI 532204800 (Tel: 4142815150)

📍
Updated Business Mailing Address January 17, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

NPI Profile Active June 30, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location June 30, 2021

Registered at 550 W FRONTAGE RD, NORTHFIELD, IL 600931202 (Tel: 8473867744)

📍
Updated Business Mailing Address June 30, 2021

Registered at 7211 S TIFTON DR, FRANKLIN, WI 531329381 (Tel: 2628062247)

👤
Provider Name / Credentials Updated June 30, 2021

Recorded as AMANDA CARLSON-DONDERO, DNP, FNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 30, 2021

Nurse Practitioner (License #2019053373 in WI)

🟢
Initial NPI Registration & Enumeration June 30, 2021

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: 1114597168
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 30, 2021
Last Update: July 02, 2026
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.