Amy Prout, RD - Medicare Dietitian in Mequon, WI

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Amy Prout, RD is a medicare enrolled "Dietitian, Registered" provider in Mequon, Wisconsin. Her current practice location is 12203 Corporate Pkwy, Mequon, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (262) 387-8200.

Amy Prout is licensed to practice in Wisconsin (license number 2269) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1518360882.

Contact Information

Amy Prout, RD
12203 Corporate Pkwy,
Mequon, WI 53092-3388
(262) 387-8200
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAmy Prout
GenderFemale
SpecialityDietitian, Registered
Location12203 Corporate Pkwy, Mequon, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1518360882
  • Provider Enumeration Date: 10/01/2014
  • Last Update Date: 07/16/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 1153621784
  • Enrollment ID: I20151203000308

Medical Identifiers

Medical identifiers for Amy Prout such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1518360882NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
133V00000XDietitian, Registered 2269 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Prout allows following entities to bill medicare on her behalf.
Provider NameAscension Medical Group-fox Valley Wisconsin Inc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1730126392
PECOS PAC ID: 0244142420
Enrollment ID: O20031105000351
Provider NameAurora Medical Group, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1427271378
PECOS PAC ID: 6709794258
Enrollment ID: O20031105000725
Provider NameAurora Advanced Healthcare, Inc.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1265629133
PECOS PAC ID: 3375625833
Enrollment ID: O20080123000694

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Prout is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy Prout, RD
Po Box 735044,
Chicago, IL 60673-5044

Ph: (800) 326-2250		Amy Prout, RD
12203 Corporate Pkwy,
Mequon, WI 53092-3388

Ph: (262) 387-8200

Reviews and Comments


Dietitian, Registered in Mequon, WI

Abbey Beck,
Dietitian
Medicare: Medicare Enrolled
Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097
Phone: 262-243-7657    
Mrs. Jennifer Lynn Melcher, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 8241 W Highlander Dr, Mequon, WI 53097
Phone: 630-699-2177    
Shoshana Silver, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 11305 N Bobolink Ln, Mequon, WI 53092
Phone: 262-957-7350    
Lynn Marie Clark, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 10500 N. Stratford Place, Mequon, WI 53092
Phone: 262-242-7808    
Mrs. Lisa Lee Hanson, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 13111 N Port Washington Rd, Mequon, WI 53097
Phone: 262-243-7376    
Sarah Sherman, RD
Dietitian
Medicare: Not Enrolled in Medicare
Practice Location: 10602 N Port Washington Rd Ste 101, Mequon, WI 53092
Phone: 414-367-6376    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.