AMY TICKNOR MD
NPI 1942904032
Student in an Organized Health Care Education/Training Program in Milwaukee, WI
About Amy Ticknor Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AMY TICKNOR MD (NPI 1942904032) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Amy Ticknor Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 Ticknor's NPI number?
The NPI number for Amy Ticknor is 1942904032. It was assigned to this individual provider in the NPPES registry on March 30, 2023.
Where is Amy Ticknor located?
Amy Ticknor practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-6600.
What is Amy Ticknor's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Amy Ticknor enrolled in Medicare?
Yes. Amy Ticknor is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Amy Ticknor was last updated on March 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Amy Ticknor, MD · NPI 1942904032
Student in an Organized Health Care Education/Training Program provider in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since March 30, 2023.
## Identity
- **NPI:** 1942904032 (Entity type: Individual)
- **Enumerated:** March 30, 2023
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 9200 W WISCONSIN AVE, Milwaukee, WI 53226-3522
- **Phone:** (414) 805-6600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 30, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1942904032) · Data from the CMS NPPES public registry.