AMANDA SUE MOLBACK N.P.
NPI 1083963219
Nurse Practitioner in Menomonie, WI

Q: What is Amanda Molback's NPI number?

The NPI number for Amanda Molback is 1083963219. It was assigned to this individual provider in the NPPES registry on September 4, 2012.

Q: What is Amanda Molback's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Molback was last updated on February 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since September 04, 2012PECOS EnrolledAccepts Medicare Assignment

2321 STOUT RD, MENOMONIE, WI 54751(715) 235-5531(715) 233-7645 Get Directions Write a Review

NPPES record last updated: February 16, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 16, 2021, Feb 10, 2021, Oct 8, 2019 (3 updates tracked since 2019).

On this page

About Amanda Sue Molback N.p. NPPES

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

AMANDA SUE MOLBACK N.P. (NPI 1083963219) is an individual nurse practitioner in Menomonie, Wisconsin, licensed in Wisconsin (4987-33) and active in the NPI registry since September 2012. She is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System Eau Claire Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1083963219

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMANDA SUE MOLBACKCredential: N.P.

Location Address2321 STOUT RDMenomonie, WI 54751-7003

Mailing Address200 1st St SwRochester, MN 55905-0002 · (715) 838-5222

Phone(715) 235-5531

Fax(715) 233-7645

Sole ProprietorNo

Medical School CMSOtherGraduated 2012

Enumeration DateSeptember 4, 2012

Last NPPES UpdateFebruary 16, 20213 updates tracked since enumeration

NPPES CertifiedFebruary 16, 2021

✔ NPI 1083963219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 4987-33

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.

2321 STOUT RD, Menomonie, WI 54751

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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, Medica, Security Health Plan.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 Sue Molback N.p. 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 ID2062666357

PECOS Enrollment IDI20130214000430

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 2

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

Mayo Clinic Health System Eau Claire Hospital

Acute Care Hospitals · Eau Claire, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520070

Location1221 Whipple StEau Claire, WI 54703 · Eau Claire County

Emergency services Birthing friendly

Mayo Clinic Health System-Red Cedar Inc

Critical Access Hospitals · Menomonie, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number521340

Location2321 Stout RdMenomonie, WI 54751 · Dunn County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54751 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.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers271 claims271 services$42.34 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

7 suppliers156 claims156 services$98.90 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

6 suppliers203 claims506 services$39.47 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

8 suppliers135 claims619 services$22.10 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

4 suppliers85 claims423 services$17.81 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers181 claims181 services$65.17 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

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