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AMANDA ROSE BANTLE APNP
NPI 1003520495
Nurse Practitioner in Green Bay, WI

Active since January 10, 2023PECOS Enrolled
2581 DEVELOPMENT DR, GREEN BAY, WI 54311(920) 347-0400(920) 347-0868 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 21, 2026, Jan 31, 2023, Jan 10, 2023 (3 updates tracked since 2023).

About Amanda Rose Bantle Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA ROSE BANTLE APNP (NPI 1003520495) is an individual nurse practitioner in Green Bay, Wisconsin, licensed in Wisconsin (13516-33) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1003520495
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameAMANDA ROSE BANTLECredential: APNP
Location Address2581 DEVELOPMENT DRGreen Bay, WI 54311-4247
Mailing Address1035 Kepler DrGreen Bay, WI 54311-8320 · (920) 490-9046 · Fax (920) 405-8005
Phone(920) 347-0400
Fax(920) 347-0868
Sole ProprietorNo
Enumeration DateJanuary 10, 2023
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1003520495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 13516-33
Definition
(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.
Also ListedRegistered NurseTaxonomy 163W00000X · License 168768-30 (WI)
2581 DEVELOPMENT DR, Green Bay, WI 54311
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Rose Bantle Apnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Amanda Bantle reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Baycare Clinic LLP
3.2 mi
Emergency Medicine
2845 GREENBRIER RD
Green Bay, WI 54311
  • Reassigned Medicare billing, Wisconsin enrollment
  • 275 clinicians in this Medicare group
NPI 1588609648 (920) 288-8000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54311 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KRISTA S PRIMLEY
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
GREGORY W WELSH DDS
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
BAYCARE CLINIC LLP
Oral & Maxillofacial Surgery
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
GABRIELLE ARLINE RUTHERFORD
Nurse Practitioner
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
WILLIAM J NELSON DDS
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
BRANDON E NEWELL DDS
Dentist (Oral and Maxillofacial Surgery)
2581 DEVELOPMENT DR
GREEN BAY, WI 54311
Brown County (920) 347-0400
DR. PAULA S. CRUM, S.C.
Dentist (Periodontics)
2581 DEVELOPMENT DR, SUITE 204
GREEN BAY, WI 54311
Brown County (920) 347-2640
DR. NICOLAS FAWZI ABUJAMRA DDS, MS
Dentist
2581 DEVELOPMENT DR, SUITE 102
GREEN BAY, WI 54311
Brown County (920) 347-2626

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Bantle's NPI number?

The NPI number for Amanda Bantle is 1003520495. It was assigned to this individual provider in the NPPES registry on January 10, 2023.

Where is Amanda Bantle located?

Amanda Bantle practices at 2581 Development Dr, Green Bay, WI 54311. The listed phone number is (920) 347-0400.

What is Amanda Bantle's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Amanda Bantle enrolled in Medicare?

Yes. Amanda Bantle is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Bantle's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Bantle reassigns Medicare benefits to Baycare Clinic LLP (Green Bay, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Bantle's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Bantle accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), HealthPartners, Network Health and Quartz and 2 other insurers list Amanda Bantle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Amanda Bantle was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.