| Amanda J Hiemstra, APNP | |
|
1242 W Fond Du Lac St, Ripon, WI 54971-9288 | |
| (920) 745-4700 | |
| (920) 745-4701 |
| Full Name | Amanda J Hiemstra |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 10 Years |
| Location | 1242 W Fond Du Lac St, Ripon, Wisconsin |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922458785 | NPI | - | NPPES |
| 100058649 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363L00000X | Nurse Practitioner | 6994-33 (Wisconsin) | Primary |
| 363LF0000X | Nurse Practitioner - Family | 6994-33 (Wisconsin) | Secondary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Aurora At Home | Green bay, WI | Home health agency |
| Aurora Medical Ctr Oshkosh | Oshkosh, WI | Hospital |
| Ssm Health Ripon Community Hospital | Ripon, WI | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Aurora Medical Group, Inc. | 6709794258 | 3764 |
| Entity Name | Aurora Medical Group, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1427271378 PECOS PAC ID: 6709794258 Enrollment ID: O20031105000725 |
| Mailing Address | Practice Location Address |
|---|---|
| Amanda J Hiemstra, APNP Po Box 735044, Chicago, IL 60673-5044 Ph: (800) 326-2250 | Amanda J Hiemstra, APNP 1242 W Fond Du Lac St, Ripon, WI 54971-9288 Ph: (920) 745-4700 |
Susan B Riek, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 835 Parkside St, Ripon, WI 54971 Phone: 920-745-3590 |
Ms. Vicki Daunelle Nelson, APNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 790 Eastgate Dr, Ripon, WI 54971 Phone: 920-745-3590 Fax: 920-745-7899 |
Tracy L Thompson, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 933 Newbury St, Ripon, WI 54971 Phone: 920-926-8340 |
Julie E Felix, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 790 Eastgate Dr, Ripon, WI 54971 Phone: 920-945-3590 Fax: 920-745-7899 |
Linda Ahrens, APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1080 W Fond Du Lac St, Ripon, WI 54971 Phone: 920-748-7000 Fax: 920-748-7236 |
Joann Patricia Borkenhagen, NP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 221 Shepard St, Ripon, WI 54971 Phone: 920-748-3121 |