DR. AMY T KENWORTHY MD
NPI 1346335254
Emergency Medicine in Waupaca, WI
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 - Bettendorf, and maintains a secondary practice location in Lander.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
14Medicare enrollment records show Amy Kenworthy reassigns Medicare billing to 14 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waupaca, WI 54981
- Reassigned Medicare billing, Wisconsin enrollment
- 85 clinicians in this Medicare group
New London, WI 54961
- Reassigned Medicare billing, Wisconsin enrollment
- 106 clinicians in this Medicare group
Shawano, WI 54166
- Reassigned Medicare billing, Wisconsin enrollment
- 174 clinicians in this Medicare group
Menomonee Falls, WI 53051
- Reassigned Medicare billing, Wisconsin enrollment
- 2,294 clinicians in this Medicare group
Stanley, WI 54768
- Reassigned Medicare billing, Wisconsin enrollment
- 168 clinicians in this Medicare group
Dyersville, IA 52040
- Reassigned Medicare billing, Iowa enrollment
- 62 clinicians in this Medicare group
Waverly, IA 50677
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1033125463 (Iowa)
- 66 clinicians in this Medicare group
Davenport, IA 52807
- Reassigned Medicare billing, Iowa and Illinois enrollments
- Also billed through NPI 1033163829 (Illinois)
- 138 clinicians in this Medicare group
Waterloo, IA 50703
- Reassigned Medicare billing, Iowa enrollment
- 273 clinicians in this Medicare group
Muscatine, IA 52761
- Reassigned Medicare billing, Iowa enrollment
- 113 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Trinity - Bettendorf
Acute Care Hospitals · Bettendorf, IAMercyone Dyersville Medical Center
Critical Access Hospitals · Dyersville, IACook Hospital
Critical Access Hospitals · Cook, MNBigfork Valley Hospital
Critical Access Hospitals · Bigfork, MNAspirus Stanley Hospital
Critical Access Hospitals · Stanley, WIPhysician 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.
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.
WAUPACA, WI 54981
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.
Which organizations bill Medicare for Amy Kenworthy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Amy Kenworthy reassigns Medicare benefits to 14 organizations: Thedacare Medical Center - Waupaca, Inc. (Waupaca, WI), Thedacare Medical Center - New London, Inc. (New London, WI), Thedacare Medical Center - Shawano, Inc. (Shawano, WI), Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (Menomonee Falls, WI), Aspirus Stanley Hospital & Clinics, Inc. (Stanley, WI) and 9 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amy Kenworthy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Amy Kenworthy accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Anthem Blue Cross and Blue Shield and 4 other insurers 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 - Bettendorf, Mercyone Dyersville Medical Center, Cook Hospital, 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 5 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.
# Dr. Amy T Kenworthy, MD · NPI 1346335254
Emergency Medicine physician in Waupaca, Wisconsin. Individual provider, active in the CMS NPPES registry since October 4, 2006.
## Identity
- **NPI:** 1346335254 (Entity type: Individual)
- **Enumerated:** October 4, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 6969A (Wyoming)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 RIVERSIDE DR, Waupaca, WI 54981-1943
- **Phone:** (715) 258-1000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 14 organizations under Medicare reassignment (form CMS-855R): Thedacare Medical Center - Waupaca, Inc. (NPI 1013995521, Waupaca, WI); Thedacare Medical Center - New London, Inc. (NPI 1538127220, New London, WI); Thedacare Medical Center - Shawano, Inc. (NPI 1548260839, Shawano, WI); Froedtert & the Medical College Of Wisconsin Community Physicians, Inc. (NPI 1568787448, Menomonee Falls, WI); Aspirus Stanley Hospital & Clinics, Inc. (NPI 1053391730, Stanley, WI); and 9 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Missouri, Columbia School Of Medicine, class of 1981
## Record status
- **NPPES last updated:** May 29, 2026
- **Other identifiers:** Medicaid 119346500 (WY)
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Source: [NPI Profile](https://npiprofile.com/npi/1346335254) · Data from the CMS NPPES public registry.