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AMANDA SARA DUPONT D.O.
NPI 1760903934
Pediatrics - Pediatric Emergency Medicine in Milwaukee, WI

Active since June 28, 2017PECOS EnrolledAccepts Medicare Assignment
9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-2625(414) 266-2635 Get Directions Write a Review

NPPES record last updated: August 6, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 6, 2021, Jun 28, 2021, May 4, 2021 and 2 more (5 updates tracked since 2017).

About Amanda Sara Dupont D.o. NPPES

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

AMANDA SARA DUPONT D.O. (NPI 1760903934) is an individual pediatric emergency medicine provider in Milwaukee, Wisconsin, licensed in Wisconsin (72702-21) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Childrens Hospital Of Wisconsin, and is a graduate of Chicago College Of Osteopathy (2017).

NPPES Registry Identity

NPI1760903934
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameAMANDA SARA DUPONTCredential: D.O.
Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874
Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-2625 · Fax (414) 266-2635
Phone(414) 266-2625
Fax(414) 266-2635
Sole ProprietorNo
Medical School CMSChicago College Of OsteopathyGraduated 2017
Enumeration DateJune 28, 2017
Last NPPES UpdateAugust 6, 20215 updates tracked since enumeration
NPPES CertifiedAugust 6, 2021
✔ NPI 1760903934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in WI · 72702-21
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
9000 W WISCONSIN AVE, Milwaukee, WI 53226
Open in Google Maps ↗

Other Identifiers 1

Medicaid1760903934WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare).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

Amanda Sara Dupont D.o. 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 ID8921428491
PECOS Enrollment IDI20210401000324
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 Reassignments

2

Medicare enrollment records show Amanda Dupont reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Specialty Group, Inc.
Same address
Pediatrics
9000 W WISCONSIN AVE
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Childrens Specialty Group Inc
  • 424 clinicians in this Medicare group
NPI 1942970405 (414) 266-2000
The Medical College Of Wisconsin, Inc.
0.1 mi
Internal Medicine
8701 WATERTOWN PLANK RD
Milwaukee, WI 53226
  • Reassigned Medicare billing, Wisconsin enrollment
  • 3,983 clinicians in this Medicare group
NPI 1699720086 (414) 955-7101

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare

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

Childrens Hospital Of Wisconsin

Childrens · Milwaukee, WI
OwnershipVoluntary non-profit - Other
CMS Certification Number523300
Location9000 W Wisconsin AveMilwaukee, WI 53226 · Milwaukee County
Emergency services

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.

MS. LESLIE L. TALBERT NP
Nurse Practitioner (Pediatrics)
9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-3360
SARAH MARIE RUMLER DO
Pediatrics (Pediatric Hematology-Oncology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 955-4170
ALISON COREN
Pediatrics (Pediatric Endocrinology)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6750
BRANDON PALMER M.D.
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 337-7050
AIDAN JAMES REID DO
Pediatrics
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-6800
KYNDAL LYN HETTICH RD, CSP, CD
Dietitian, Registered
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-5938
CARISA MARIE DIMATTINA LCSW
Social Worker (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 581-4004
BREYA LOGAN WHITEFIELD PHD
Psychologist (Clinical)
9000 W WISCONSIN AVE
MILWAUKEE, WI 53226
Milwaukee County (414) 266-2000

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 Dupont's NPI number?

The NPI number for Amanda Dupont is 1760903934. It was assigned to this individual provider in the NPPES registry on June 28, 2017.

Where is Amanda Dupont located?

Amanda Dupont practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-2625.

What is Amanda Dupont's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Amanda Dupont enrolled in Medicare?

Yes. Amanda Dupont 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 Amanda Dupont's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Dupont reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Amanda Dupont's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Amanda Dupont accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan and CareSource (Common Ground Healthcare) list Amanda Dupont 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 Amanda Dupont affiliated with any hospitals?

According to CMS data, Amanda Dupont is affiliated with Childrens Hospital Of Wisconsin.

When was this NPI record last updated?

The NPPES record for Amanda Dupont was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.