AMY E PERDOMO NP
NPI 1679052104
Nurse Practitioner - Psychiatric/Mental Health in Green Bay, WI
About Amy E Perdomo Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY E PERDOMO NP (NPI 1679052104) is an individual psychiatric/mental health provider in Green Bay, Wisconsin, licensed in Wisconsin (8778) and active in the NPI registry since August 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
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
Amy E Perdomo 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 54311 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.
GREEN BAY, WI 54311
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 Perdomo's NPI number?
The NPI number for Amy Perdomo is 1679052104. It was assigned to this individual provider in the NPPES registry on August 7, 2018.
Where is Amy Perdomo located?
Amy Perdomo practices at 1160 Kepler Dr, Green Bay, WI 54311. The listed phone number is (920) 288-5630.
What is Amy Perdomo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Amy Perdomo enrolled in Medicare?
Yes. Amy Perdomo 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 Perdomo accept?
Health plans from Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners, Medica and Quartz and 1 other insurer list Amy Perdomo 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 Perdomo was last updated on November 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.
# Amy E Perdomo, NP · NPI 1679052104
Psychiatric/Mental Health physician in Green Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since August 7, 2018.
## Identity
- **NPI:** 1679052104 (Entity type: Individual)
- **Enumerated:** August 7, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 8778 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 1160 KEPLER DR, Green Bay, WI 54311-8321
- **Phone:** (920) 288-5630
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** November 17, 2024
- **Other identifiers:** Medicaid 100082580 (WI); Medicaid 100082621 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1679052104) · Data from the CMS NPPES public registry.