AMY GERMAIN DNP
NPI 1962052118
Nurse Practitioner - Family in Sheboygan, WI

Active since September 18, 2019PECOS EnrolledAccepts Medicare Assignment
1411 N TAYLOR DR, SHEBOYGAN, WI 53081(920) 457-4858 Get Directions Write a Review

NPPES record last updated: September 12, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 12, 2024, Feb 7, 2022, Jan 14, 2021 and 2 more (5 updates tracked since 2019).

About Amy Germain Dnp NPPES

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

AMY GERMAIN DNP (NPI 1962052118) is an individual family provider in Sheboygan, Wisconsin, licensed in Wisconsin (9619-33) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with St Nicholas Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1962052118
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAMY GERMAINCredential: DNP
Location Address1411 N TAYLOR DRSheboygan, WI 53081-3043
Mailing Address66 E Brooklyn StChilton, WI 53014-1514 · (920) 257-6378
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 18, 2019
Last NPPES UpdateSeptember 12, 20245 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2024
NPI 1962052118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in WI · 9619-33
1411 N TAYLOR DR, Sheboygan, WI 53081

Other Names 1

Former Name (1)Amy J Bartelt

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 Germain Dnp 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 ID2365874963
PECOS Enrollment IDI20191120002213
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.

Areas of Expertise CMS Part B claims 4

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
117 services50 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
64 services27 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services19 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

St Nicholas Hospital

Acute Care Hospitals · Sheboygan, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520044
Location3100 Superior AveSheboygan, WI 53081 · Sheboygan County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

St Vincent Hospital

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520075
Location835 S Van Buren StGreen Bay, WI 54301 · Brown County
Emergency services Birthing friendly

St Mary's Hospital Medical Center

Acute Care Hospitals · Green Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number520097
Location1726 Shawano AveGreen Bay, WI 54303 · Brown County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53081 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 20

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

Podiatrist
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Family Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Nurse Anesthetist, Certified Registered
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Registered Nurse
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Anesthesiology
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Otolaryngology (Facial Plastic Surgery)
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Internal Medicine
1411 N TAYLOR DR
SHEBOYGAN, WI 53081
Orthopaedic Surgery
1411 N TAYLOR DR
SHEBOYGAN, WI 53081

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 Germain's NPI number?

The NPI number for Amy Germain is 1962052118. It was assigned to this individual provider in the NPPES registry on September 18, 2019. The provider is also known as Amy J Bartelt.

Where is Amy Germain located?

Amy Germain practices at 1411 N Taylor Dr, Sheboygan, WI 53081. The listed phone number is (920) 457-4858.

What is Amy Germain's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Amy Germain enrolled in Medicare?

Yes. Amy Germain 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 Germain accept?

Health plans from Anthem Blue Cross and Blue Shield list Amy Germain 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 Amy Germain affiliated with any hospitals?

According to CMS data, Amy Germain is affiliated with St Nicholas Hospital, Bellin Memorial Hospital, St Vincent Hospital and St Mary's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Amy Germain was last updated on September 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.