AMANDA PASSINT
NPI 1275948077
Nurse Practitioner - Family in Pewaukee, WI

Q: What is Amanda Passint's NPI number?

The NPI number for Amanda Passint is 1275948077. It was assigned to this individual provider in the NPPES registry on July 1, 2014.

Q: What is Amanda Passint's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Amanda Passint was last updated on July 1, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 July 01, 2014PECOS Enrolled

411 PEWAUKEE RD, PEWAUKEE, WI 53072(262) 695-5145 Get Directions Write a Review

NPPES record last updated: July 1, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Amanda Passint NPPES

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

AMANDA PASSINT (NPI 1275948077) is an individual family provider in Pewaukee, Wisconsin, licensed in Wisconsin (363L00000X) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275948077

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameAMANDA PASSINT

Location Address411 PEWAUKEE RDPewaukee, WI 53072-5886

Mailing AddressW224n2824 Stonewood CtWaukesha, WI 53186-1042

Phone(262) 695-5145

Sole ProprietorNo

Enumeration DateJuly 1, 2014

✔ NPI 1275948077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in WI · 363L00000X

Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X · License 20082701 (WI)

411 PEWAUKEE RD, Pewaukee, WI 53072

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Passint 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53072 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 6

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

JESSICA LYNN MICKEVICIUS PHARMD

Pharmacist