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AMANDA NICOLE PETERS PA
NPI 1063046761
Physician Assistant in Brillion, WI

Active since March 03, 2020PECOS EnrolledAccepts Medicare Assignment
964 W RYAN ST, BRILLION, WI 54110(920) 756-2055(920) 756-3350 Get Directions Write a Review

NPPES record last updated: January 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2023, Aug 24, 2022, Jun 2, 2021 and 3 more (6 updates tracked since 2020).

About Amanda Nicole Peters Pa NPPES

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

AMANDA NICOLE PETERS PA (NPI 1063046761) is an individual physician assistant in Brillion, Wisconsin, licensed in Wisconsin (5094) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Bellin Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1063046761
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA NICOLE PETERSCredential: PA
Location Address964 W RYAN STBrillion, WI 54110-1076
Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7210 · Fax (920) 445-7289
Phone(920) 756-2055
Fax(920) 756-3350
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 3, 2020
Last NPPES UpdateJanuary 3, 20236 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2023
✔ NPI 1063046761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in WI · 5094
Definition
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.
964 W RYAN ST, Brillion, WI 54110
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Other Identifiers 1

Other1172171National Commission On Certified Physician Assistants

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.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 Nicole Peters Pa 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 ID1052738556
PECOS Enrollment IDI20200828002156
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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
49 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54110 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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 7

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

VERNON GOIN D.D.S.
Dentist
964 W RYAN ST, SUITE D
BRILLION, WI 54110
Calumet County (920) 756-3313
CHRISTOPHER JOHN SIPPLE MD
Family Medicine
964 W RYAN ST, SUITE B
BRILLION, WI 54110
Calumet County (920) 756-2055
MRS. JANET A MATUSZAK PT
Physical Therapist
964 W RYAN ST, SUITE B
BRILLION, WI 54110
Calumet County (920) 756-2055
VERNON J. GOIN D.D.S. S.C.
Clinic/Center (Dental)
964 W RYAN ST, SUITE D
BRILLION, WI 54110
Calumet County (920) 756-3313
BEL-REGIONAL HOME MEDICAL INC
Eyewear Supplier
964 W RYAN ST, SUITE E
BRILLION, WI 54110
Calumet County (920) 756-3242
MRS. HOLLY LYNN PAUTZ PA - C
Physician Assistant
964 W RYAN ST, SUITE B
BRILLION, WI 54110
Calumet County (920) 756-2055
JACOB R WARRENS PA
Physician Assistant
964 W RYAN ST, SUITE B
BRILLION, WI 54110
Calumet County (920) 756-2055

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 Peters's NPI number?

The NPI number for Amanda Peters is 1063046761. It was assigned to this individual provider in the NPPES registry on March 3, 2020.

Where is Amanda Peters located?

Amanda Peters practices at 964 W Ryan St, Brillion, WI 54110. The listed phone number is (920) 756-2055.

What is Amanda Peters's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Peters enrolled in Medicare?

Yes. Amanda Peters 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 Peters accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and HealthPartners list Amanda Peters 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 Peters affiliated with any hospitals?

According to CMS data, Amanda Peters is affiliated with Bellin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Amanda Peters was last updated on January 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.