Active NPI 1417402058 Individual Practitioner Female Practitioner

Amanda Jo Lanham , PA-C

Physician Assistant • New Holstein, WI

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Amanda Lanham, PA-C is a certified Physician Assistant practicing in New Holstein, WI. With approximately 10 years of clinical experience since completing medical education in 2016, Amanda Lanham delivers high-quality medical care to the local community at 1610 HOOVER ST.

Amanda Lanham maintains professional affiliations with Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc, The Medical College Of Wisconsin Inc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1610 Hoover St

New Holstein, WI 530611636

Telephone 8722313162

Associated Practice Facility / Clinic

🏢 Extendicare Health Facilities, Inc. Facility NPI 1144392879

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in New Holstein, WI

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs Matches City Avg

City Avg: 10.0 Yrs

State Avg: 14.1 Yrs

Regional Practice Density

1 Specialists

Practicing in New Holstein, WI (3517 Statewide)

Telehealth Adoption Rate

100.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

86.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lanham (10 Years) 10 Yrs

New Holstein Specialty Average (10.0 Years) 10.0 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
99213 Established patient office or other outpatient visit, typically 15 minutes	87	74	$248.00	$52.16
17003 Destruction of precancer skin growth, 2-14 growths	70	23	$33.00	$1.64
17000 Destruction of skin growth	48	46	$374.00	$36.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	43	$366.00	$76.99
17110 Destruction of up to 14 skin growths	30	26	$655.00	$54.81
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$190.00	$27.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	219	52	$32.00	$1.68
99213 Established patient office or other outpatient visit, typically 15 minutes	109	102	$241.00	$52.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	91	$355.00	$77.17
17000 Destruction of skin growth	96	84	$363.00	$37.92
17110 Destruction of up to 14 skin growths	61	55	$636.00	$53.48
11102 Tangential biopsy of single skin lesion	27	26	$562.00	$22.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	17	$184.00	$28.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	16	16	$577.00	$65.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$580.00	$106.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	137	122	$234.00	$53.51
17003 Destruction of precancer skin growth, 2-14 growths	104	41	$31.00	$1.71
17000 Destruction of skin growth	75	68	$352.00	$38.34
17110 Destruction of up to 14 skin growths	43	38	$448.00	$53.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	30	$345.00	$79.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$560.00	$66.10
11102 Tangential biopsy of single skin lesion	23	22	$284.00	$24.49
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	22	22	$179.00	$28.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$563.00	$108.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	90	24	$30.00	$1.74
99213 Established patient office or other outpatient visit, typically 15 minutes	50	48	$227.00	$54.80
17000 Destruction of skin growth	42	37	$342.00	$38.10
11102 Tangential biopsy of single skin lesion	23	22	$276.00	$21.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$544.00	$67.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	22	$335.00	$81.08
17110 Destruction of up to 14 skin growths	21	20	$435.00	$52.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$174.00	$29.30

Medical Specialties & State Licenses

CMS Verified: 2026-05-28

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 4686

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1417402058 (WI)

Hospital & Practice Group Affiliations

The Medical College Of Wisconsin Inc

8701 W Watertown Plank, Milwaukee, WI 532263548

Phone: 4148053666

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

4805 S Moorland Rd, New Berlin, WI 531517401

Phone: 2627987200

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

W129n7055 Northfield Dr, Menomonee Falls, WI 530510538

Phone: 2622535400

The Medical College Of Wisconsin Inc

8701 Watertown Plank Rd, Milwaukee, WI 532263548

Phone: 4148053666

Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc

W168n11237 Western Ave, Germantown, WI 530223239

Phone: 2622535060

The Medical College Of Wisconsin Inc

10000 W Bluemound Rd, Wauwatosa, WI 532264321

Phone: 4144548000

Practice Associates & Co-Workers

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

40 Associated Practitioners

Emily Smith , PA

Physician Assistant

NPI 1003232612

Physician Assistant

Dr. Jessica Bloomgarden , MD

Physical Medicine & Rehabilitation

NPI 1013158427

Doctor of Medicine (M.D.)

Rajdeep Sandhu , FNP-C

Nurse Practitioner - Family

NPI 1013473073

Family Nurse Practitioner (Certified)

Lyncee Barrett , FNP

Nurse Practitioner - Family

NPI 1013483296

Family Nurse Practitioner

Dr. Allison Williams , MD

Physical Medicine & Rehabilitation

NPI 1013967066

Doctor of Medicine (M.D.)

Arpit Kaul

Physical Medicine & Rehabilitation

NPI 1023452430

Career & Practice History Timeline

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

13 Historical Events

📍

Updated Practice Location May 28, 2026

Registered at 1610 HOOVER ST, NEW HOLSTEIN, WI 530611636 (Tel: 8722313162)

📍

Updated Business Mailing Address May 28, 2026

Registered at PO BOX 74008272, CHICAGO, IL 606748272 (Tel: 8722313162)

📍

Updated Practice Location July 26, 2022

Registered at 10000 W BLUEMOUND RD, WAUWATOSA, WI 532264321 (Tel: 4144548000)

📍

Updated Business Mailing Address July 26, 2022

Registered at 10000 W BLUEMOUND RD, WAUWATOSA, WI 532264321 (Tel: 4144548000)

📍

Updated Practice Location June 27, 2019

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148053666)

📍

Updated Business Mailing Address June 27, 2019

Registered at 9200 W WISCONSIN AVE, MILWAUKEE, WI 532263522 (Tel: 4148053666)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 27, 2019

Physician Assistant (License #4686 in WI)

✅

NPI Profile Active August 24, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location August 24, 2016

Registered at 1721 ADMIRAL TAUSSIG BLVD, ATTN: LTJG LANHAM, PRIMARY CARE, NORFOLK, VA 235112802 (Tel: 7579539000)

📍

Updated Business Mailing Address August 24, 2016

Registered at 556 LANIER CRES, PORTSMOUTH, VA 237071361

👤

Provider Name / Credentials Updated August 24, 2016

Recorded as AMANDA LANHAM, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 24, 2016

Physician Assistant

🟢

Initial NPI Registration & Enumeration August 24, 2016

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Amanda Lanham. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1417402058

Entity Type:

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

Enumeration Date: August 24, 2016

Last Update: May 28, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 74008272

Chicago, IL 606748272

Phone: 8722313162

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.