AMANDA MARIE ABAYA APNP
NPI 1053145193
Nurse Practitioner - Family in Appleton, WI
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
Specialties & Licenses
Other Names 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignment
Medicare enrollment records show Amanda Abaya reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Scottsdale, AZ 85254
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Apogee Medical Group Wisconsin Sc
- 112 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, MIBellin Memorial Hospital
Acute Care Hospitals · Green Bay, WIBellin Health Oconto Hospital
Critical Access Hospitals · Oconto, WIDoor County Medical Center
Critical Access Hospitals · Sturgeon Bay, WIPhysician 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.
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.
Which organization bills Medicare for Amanda Abaya's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Abaya reassigns Medicare benefits to Apogee Medical Group, Wisconsin, S.C (Scottsdale, AZ). 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 Abaya's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 years 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.
# Amanda Marie Abaya, APNP · NPI 1053145193
Family physician in Appleton, Wisconsin. Individual provider, active in the CMS NPPES registry since August 30, 2024.
## Identity
- **NPI:** 1053145193 (Entity type: Individual)
- **Enumerated:** August 30, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 15720 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** W5402 MILE LONG DR, Appleton, WI 54915-5225
- **Phone:** (920) 204-2080
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Apogee Medical Group, Wisconsin, S.C (NPI 1629415591, Scottsdale, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 30, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1053145193) · Data from the CMS NPPES public registry.