DR. AMY T KENWORTHY MD
NPI 1346335254
Emergency Medicine in Waupaca, WI

Active since October 04, 2006PECOS EnrolledAccepts Medicare Assignment
800 RIVERSIDE DR, WAUPACA, WI 54981(715) 258-1000 Get Directions Write a Review

NPPES record last updated: May 29, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 29, 2026, Dec 4, 2020, Nov 19, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Amy T Kenworthy Md NPPES

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

DR. AMY T KENWORTHY MD (NPI 1346335254) is an individual emergency medicine provider in Waupaca, Wisconsin, licensed in Wyoming (6969A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and maintains a secondary practice location in Lander.

NPPES Registry Identity

NPI1346335254
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. AMY T KENWORTHYCredential: MD
Location Address800 RIVERSIDE DRWaupaca, WI 54981-1943
Mailing Address83 Deer Valley DrLander, WY 82520-9780 · (307) 335-8248
Sole ProprietorYes
Medical School CMSUniversity Of Missouri, Columbia School Of MedicineGraduated 1981
Enumeration DateOctober 4, 2006
Last NPPES UpdateMay 29, 20264 updates tracked since enumeration
NPPES CertifiedMay 29, 2026
NPI 1346335254 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in WY · 6969A Licensed in WI · 285-320
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.053893 (OH), 36143235 (IL), MD22847 (ME)
800 RIVERSIDE DR, Waupaca, WI 54981

Secondary Practice Location 1

Location 183 Deer Valley DrLander, WY 82520-9780 · Phone (307) 335-8248

Other Identifiers 1

Medicaid119346500WY

Accepted 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

Dr. Amy T Kenworthy Md 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 ID7012997109
PECOS Enrollment IDI20171019001611, I20221201000628
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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
99 services94 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
56 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Mercyone Dyersville Medical Center

Critical Access Hospitals · Dyersville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161378
Location1111 3rd Street SWDyersville, IA 52040 · Dubuque County
Emergency services

Bigfork Valley Hospital

Critical Access Hospitals · Bigfork, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241316
Location258 Pine Tree DriveBigfork, MN 56628 · Itasca County
Emergency services

Aspirus Stanley Hospital

Critical Access Hospitals · Stanley, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521311
Location1120 Pine StStanley, WI 54768 · Chippewa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54981 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.

General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Physical Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Occupational Therapist
800 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
General Acute Care Hospital (Critical Access)
800 RIVERSIDE DR
WAUPACA, WI 54981
Emergency Medicine
800 RIVERSIDE DR
WAUPACA, WI 54981
Physician Assistant
800 RIVERSIDE DR
WAUPACA, WI 54981
Hospitalist
800 RIVERSIDE DR
WAUPACA, WI 54981

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 Amy Kenworthy's NPI number?

The NPI number for Amy Kenworthy is 1346335254. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Amy Kenworthy located?

Amy Kenworthy practices at 800 Riverside Dr, Waupaca, WI 54981. The listed phone number is (715) 258-1000.

What is Amy Kenworthy's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Amy Kenworthy enrolled in Medicare?

Yes. Amy Kenworthy 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 Amy Kenworthy accept?

Health plans from CareSource, Medica and Moda Health Plan, Inc. list Amy Kenworthy 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 Amy Kenworthy affiliated with any hospitals?

According to CMS data, Amy Kenworthy is affiliated with Trinity Rock Island, Trinity - Bettendorf, Mercyone Dyersville Medical Center, Bigfork Valley Hospital and Aspirus Stanley Hospital.

When was this NPI record last updated?

The NPPES record for Amy Kenworthy was last updated on May 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.