Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. AMY S EMMER-SHELDON MD
NPI 1376658492
Pediatrics in Fond Du Lac, WI

Active since August 20, 2006PECOS Enrolled
210 WISCONSIN AMERICAN DR, FOND DU LAC, WI 54935(920) 907-7000(920) 907-7012 Get Directions Write a Review

NPPES record last updated: October 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 1, 2026, Oct 4, 2023, Dec 3, 2021 (3 updates tracked since 2021).

About Dr. Amy S Emmer-sheldon Md NPPES

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

DR. AMY S EMMER-SHELDON MD (NPI 1376658492) is an individual pediatrics provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (44337) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376658492
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. AMY S EMMER-SHELDONCredential: MD
Location Address210 WISCONSIN AMERICAN DRFond Du Lac, WI 54935
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Fax(920) 907-7012
Sole ProprietorNo
Enumeration DateAugust 20, 2006
Last NPPES UpdateOctober 1, 20263 updates tracked since enumeration
NPPES CertifiedOctober 1, 2026
✔ NPI 1376658492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in WI · 44337✔ Licensed in IL · 125-041412
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
210 WISCONSIN AMERICAN DR, Fond Du Lac, WI 54935

Other Names 1

Doing Business As (3)Amy Sue Emmer

Other Identifiers 1

Medicaid34390600WI

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Amy S Emmer-sheldon Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Amy Emmer-sheldon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinic/Center
2414 KOHLER MEMORIAL DR
Sheboygan, WI 53081
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54935 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 19

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

Family Medicine
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935
210 WISCONSIN AMERICAN DR, STE 235
FOND DU LAC, WI 54935
Pharmacist
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935
Internal Medicine
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935
Audiologist
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935
Pharmacist
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935
Occupational Therapist
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935
Optometrist
210 WISCONSIN AMERICAN DR
FOND DU LAC, WI 54935

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 Emmer-sheldon's NPI number?

The NPI number for Amy Emmer-sheldon is 1376658492. It was assigned to this individual provider in the NPPES registry on August 20, 2006. The provider is also known as Amy Sue Emmer.

Where is Amy Emmer-sheldon located?

Amy Emmer-sheldon practices at 210 Wisconsin American Dr, Fond Du Lac, WI 54935. The listed phone number is (920) 907-7000.

What is Amy Emmer-sheldon's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amy Emmer-sheldon enrolled in Medicare?

Yes. Amy Emmer-sheldon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amy Emmer-sheldon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Emmer-sheldon reassigns Medicare benefits to Aurora Medical Group, Inc. (Sheboygan, WI). The 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 Emmer-sheldon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amy Emmer-sheldon accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Network Health and 2 other insurers list Amy Emmer-sheldon 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.

When was this NPI record last updated?

The NPPES record for Amy Emmer-sheldon was last updated on October 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.