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AMANDA M NELLIS PA-C
NPI 1396978847
Physician Assistant in Hudson, WI

Active since September 01, 2009PECOS Enrolled
403 STAGELINE RD, HUDSON, WI 54016(715) 531-6800(715) 531-6801 Get Directions Write a Review

NPPES record last updated: September 1, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Amanda M Nellis Pa-c NPPES

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

AMANDA M NELLIS PA-C (NPI 1396978847) is an individual physician assistant in Hudson, Wisconsin and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1396978847
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMANDA M NELLISCredential: PA-C
Location Address403 STAGELINE RDHudson, WI 54016-7848
Mailing Address403 Stageline RdHudson, WI 54016-7848 · (715) 531-6800 · Fax (715) 531-6801
Phone(715) 531-6800
Fax(715) 531-6801
Sole ProprietorNo
Enumeration DateSeptember 1, 2009
✔ NPI 1396978847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
403 STAGELINE RD, Hudson, WI 54016
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Sanford Health Plan.Insurance ›

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 M Nellis Pa-c 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 54016 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
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

DR. STEPHEN R SCHMITZ MD
Family Medicine
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800
DAVID DEUTH DO
Family Medicine
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6700
DR. ELIZABETH M SCHERTZ MD
Pediatrics
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800
OANH CONSTANCE THAI MD
Family Medicine
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800
HUDSON HOSPITAL, INC
Clinic/Center
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800
DR. BRENTON CURTIS JENKINS MD
Obstetrics & Gynecology
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800
DR. ROBERT J STOY MD
Family Medicine
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800
DR. VICKI L MAYER MD
Family Medicine
403 STAGELINE RD
HUDSON, WI 54016
St. Croix County (715) 531-6800

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 Amanda Nellis's NPI number?

The NPI number for Amanda Nellis is 1396978847. It was assigned to this individual provider in the NPPES registry on September 1, 2009.

Where is Amanda Nellis located?

Amanda Nellis practices at 403 Stageline Rd, Hudson, WI 54016. The listed phone number is (715) 531-6800.

What is Amanda Nellis's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amanda Nellis enrolled in Medicare?

Yes. Amanda Nellis is registered in the Medicare PECOS enrollment system.

What insurance does Amanda Nellis accept?

Health plans from Medica and Sanford Health Plan list Amanda Nellis 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 Amanda Nellis was last updated on September 1, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.