Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1093768871 Individual Practitioner Female Practitioner

Amanda M Kotowski , NP

Nurse Practitioner • New Berlin, WI

Professional Overview & Biography Verified Profile Summary

Amanda Kotowski, NP is a registered healthcare professional specializing in Nurse Practitioner in New Berlin, WI. Practice services are available at 4855 S MOORLAND RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4855 S Moorland Rd
3rd Floor

New Berlin, WI 531517494

Telephone 2624327599
Fax 2624327694
Associated Practice Facility / Clinic
🏢 Children's Medical Group Facility NPI 1427223767

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in New Berlin, WI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
32 Specialists

Practicing in New Berlin, WI (4030 Statewide)

Telehealth Adoption Rate
37.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 2644

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
41265600 (WI)

Practice Associates & Co-Workers

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

40 Associated Practitioners
NPI 1003873548

Doctor of Medicine (M.D.)

Andrea Fox , APRN

Nurse Practitioner - Pediatrics

NPI 1013245208

Advanced Practice Registered Nurse

Katherine Waller , APNP

Nurse Practitioner - Pediatrics

NPI 1013525096

Advanced Practice Nurse Prescriber

Hannah Mazur

Nurse Practitioner - Family

NPI 1063394807
NPI 1063727642

Doctor of Medicine (M.D.)

NPI 1073878419

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events
NPI Profile Active October 29, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2014

Registered at 4855 S MOORLAND RD, 3RD FLOOR, NEW BERLIN, WI 531517494 (Tel: 2624327599)

📍
Updated Business Mailing Address October 29, 2014

Registered at 9000 W WISCONSIN AVE, MS 958, MILWAUKEE, WI 532264874 (Tel: 4142667615)

👤
Provider Name / Credentials Updated October 29, 2014

Recorded as AMANDA KOTOWSKI, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2014

Nurse Practitioner (License #2644 in WI)

🟢
Initial NPI Registration & Enumeration May 19, 2006

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: 1093768871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 19, 2006
Last Update: October 29, 2014
Sole Proprietor: No

Mailing Address

9000 W Wisconsin Ave, Ms 958

Milwaukee, WI 532264874

Phone: 4142667615

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.