AMY M CROATT-SMITH NP
NPI 1285159087
Nurse Practitioner in Grafton, WI

Q: What is Amy Croatt-smith's NPI number?

The NPI number for Amy Croatt-smith is 1285159087. It was assigned to this individual provider in the NPPES registry on August 14, 2017. The provider is also known as Amy M Croatt Np.

Q: What is Amy Croatt-smith'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 Amy Croatt-smith was last updated on June 29, 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.

Active since August 14, 2017PECOS EnrolledAccepts Medicare Assignment

975 PORT WASHINGTON RD, GRAFTON, WI 53024(414) 385-2590 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 29, 2021, Mar 29, 2018, Aug 14, 2017 (3 updates tracked since 2017).

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About Amy M Croatt-smith Np NPPES

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

AMY M CROATT-SMITH NP (NPI 1285159087) is an individual nurse practitioner in Grafton, Wisconsin, licensed in Wisconsin (7891-033) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Aurora Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1285159087

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameAMY M CROATT-SMITHCredential: NP

Location Address975 PORT WASHINGTON RDGrafton, WI 53024-9201

Mailing Address2901 W Kinnickinnic River Pkwy Ste 315Milwaukee, WI 53215-3660 · (414) 385-2590

Phone(414) 385-2590

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateAugust 14, 2017

Last NPPES UpdateJune 29, 20233 updates tracked since enumeration

NPPES CertifiedJune 29, 2023

✔ NPI 1285159087 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 · 7891-033

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.

975 PORT WASHINGTON RD, Grafton, WI 53024

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Other Names 1

Former Name (1)Amy M Croatt Np

Other Identifiers 1

Medicaid100070855WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and more.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

Amy M Croatt-smith Np 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 ID4981978228

PECOS Enrollment IDI20170925002843

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

26 services20 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Aurora Medical Center

Acute Care Hospitals · Grafton, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520207

Location975 Port Washington RoadGrafton, WI 53024 · Ozaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53024 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 20

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

ANNE R. HARLEY P.T.

Physical Therapist