Dr Amy Jo Clark, APNP in Sheboygan, WI - Medicare Nurse Practitioner

Dr Amy Jo Clark, APNP is a medicare enrolled "Nurse Practitioner - Family" in Sheboygan, Wisconsin. She graduated from nursing school in 2017 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sheboygan Physicians Group S.c. and her current practice location is 1621 N Taylor Dr Ste 100, Sheboygan, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 452-1650.

Dr Amy Jo Clark is licensed to practice in Wisconsin (license number 7806-33) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1265969356.

Contact Information

	Dr Amy Jo Clark, APNP
	1621 N Taylor Dr Ste 100, Sheboygan, WI 53081-1993
	(920) 452-1650
	(920) 452-3594

Map and Direction

Provider's Profile

Full Name	Dr Amy Jo Clark
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	1621 N Taylor Dr Ste 100, Sheboygan, 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.

Medical Education and Training:

Dr Amy Jo Clark graduated from nursing school in 2017

NPI Data:

NPI Number: 1265969356
Provider Enumeration Date: 05/19/2017
Last Update Date: 12/30/2021

Medicare PECOS Information:

PECOS PAC ID: 3779857552
Enrollment ID: I20170918001049

Medical Identifiers

Medical identifiers for Dr Amy Jo Clark such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1265969356	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163W00000X	Registered Nurse	161099-30 (Wisconsin)	Secondary
363LF0000X	Nurse Practitioner - Family	7806-33 (Wisconsin)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
St Nicholas Hospital	Sheboygan, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sheboygan Physicians Group S.c.	0648435214	15

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. Dr Amy Jo Clark allows following entities to bill medicare on her behalf.

Entity Name	Sheboygan Physicians Group S.c.
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1477819902 PECOS PAC ID: 0648435214 Enrollment ID: O20120705000087

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. Dr Amy Jo Clark 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 Address	Practice Location Address
Dr Amy Jo Clark, APNP 1621 N Taylor Dr Ste 100, Sheboygan, WI 53081-1993 Ph: (920) 452-1650	Dr Amy Jo Clark, APNP 1621 N Taylor Dr Ste 100, Sheboygan, WI 53081-1993 Ph: (920) 452-1650

Reviews and Comments

Nurse Practitioner Nurses in Sheboygan, WI

Mrs. Rachel Emily Rejniak, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3113 Saemann Ave, Sheboygan, WI 53081 Phone: 920-496-4700
Erin Jessie Holzman, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Katrina Laura Arnold, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2414 Kohler Memorial Dr, Sheboygan, WI 53081 Phone: 920-457-4461
Mrs. Doris U Theune, MS RN CS Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2920 Superior Ave, Sheboygan, WI 53081 Phone: 920-453-5414 Fax: 920-803-2990
Dr. Holly Ann Bartlein, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1411 North Taylor Dr., Sheboygan, WI 53081 Phone: 920-457-4858
Pamela A Higgins, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3400 Union Ave, Sheboygan, WI 53081 Phone: 920-828-2700 Fax: 920-828-2705
Mary Lou Roethel, MSN,NP-C,APNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1621 N Taylor Dr, Suite 300, Sheboygan, WI 53081 Phone: 920-496-4700

Dr Amy Jo Clark, APNP - Medicare Nurse Practitioner in Sheboygan, WI