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AMANDA MARIE ABAYA APNP
NPI 1053145193
Nurse Practitioner - Family in Appleton, WI

Active since August 30, 2024PECOS EnrolledAccepts Medicare Assignment
W5402 MILE LONG DR, APPLETON, WI 54915(920) 204-2080 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Marie Abaya Apnp NPPES

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

AMANDA MARIE ABAYA APNP (NPI 1053145193) is an individual family provider in Appleton, Wisconsin, licensed in Wisconsin (15720) and active in the NPI registry since August 2024. She is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1053145193
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMANDA MARIE ABAYACredential: APNP
Location AddressW5402 MILE LONG DRAppleton, WI 54915-5225
Mailing AddressW5402 Mile Long DrAppleton, WI 54915-5225 · (920) 204-2080
Phone(920) 204-2080
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
✔ NPI 1053145193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 15720
W5402 MILE LONG DR, Appleton, WI 54915
Open in Google Maps ↗

Other Names 1

Former Name (1)Amanda Marie Tomajcik

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Amanda Marie Abaya Apnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163940933
PECOS Enrollment IDI20250515001166
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.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521356
Location820 Arbutus AveOconto, WI 54153 · Oconto County
Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

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 Abaya's NPI number?

The NPI number for Amanda Abaya is 1053145193. It was assigned to this individual provider in the NPPES registry on August 30, 2024. The provider is also known as Amanda Marie Tomajcik.

Where is Amanda Abaya located?

Amanda Abaya practices at W5402 Mile Long Dr, Appleton, WI 54915. The listed phone number is (920) 204-2080.

What is Amanda Abaya's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amanda Abaya enrolled in Medicare?

Yes. Amanda Abaya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Amanda Abaya accept?

Health plans from CareSource (Common Ground Healthcare) list Amanda Abaya 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.

Is Amanda Abaya affiliated with any hospitals?

According to CMS data, Amanda Abaya is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, Bellin Health Oconto Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Amanda Abaya was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.