Mrs Amanda Kay Douma, APNP - Medicare Nurse Practitioner in New London, WI

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Mrs Amanda Kay Douma, APNP is a medicare enrolled "Nurse Practitioner - Family" in New London, Wisconsin. She graduated from nursing school in 2014 and has 11 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Agnesian Healthcare Inc and her current practice location is 1405 Mill St, New London, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 531-2021.

Mrs Amanda Kay Douma is licensed to practice in Wisconsin (license number 6264) 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 1043697048.

Contact Information

Mrs Amanda Kay Douma, APNP
1405 Mill St,
New London, WI 54961-2155
(920) 531-2021
Not Available

Map and Direction




Provider's Profile

Full NameMrs Amanda Kay Douma
GenderFemale
SpecialityNurse Practitioner
Experience11 Years
Location1405 Mill St, New London, Wisconsin
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Amanda Kay Douma graduated from nursing school in 2014
  NPI Data:
  • NPI Number: 1043697048
  • Provider Enumeration Date: 04/29/2015
  • Last Update Date: 06/03/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 9739409954
  • Enrollment ID: I20150528002432

Medical Identifiers

Medical identifiers for Mrs Amanda Kay Douma such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043697048NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 6264 (Wisconsin)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Agnes HospitalFond du lac, WIHospital
Waupun Memorial HospitalWaupun, WIHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Agnesian Healthcare Inc1658289624360

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. Mrs Amanda Kay Douma allows following entities to bill medicare on her behalf.
Entity NameAgnesian Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346228541
PECOS PAC ID: 1658289624
Enrollment ID: O20031104000263
Entity NameThedacare Incorporated
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1376656959
PECOS PAC ID: 1759294887
Enrollment ID: O20031106000088
Entity NameThedacare Medical Center - Shawano, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1548260839
PECOS PAC ID: 5890605836
Enrollment ID: O20031117000117
Entity NameThedacare Regional Medical Center - Appleton, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1902832306
PECOS PAC ID: 2163319039
Enrollment ID: O20040304000064

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. Mrs Amanda Kay Douma 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
Mrs Amanda Kay Douma, APNP
3 Neenah Ctr,
Neenah, WI 54956-3070

Ph: (920) 531-2021		Mrs Amanda Kay Douma, APNP
1405 Mill St,
New London, WI 54961-2155

Ph: (920) 531-2021

Reviews and Comments


Nurse Practitioner Nurses in New London, WI

Natalie G Gauthier, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2400    
Allsion R Stache, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-831-5050    Fax: 920-531-2207
Jennifer Schaffer, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2400    
Tori C Beyer, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2398    
Cara Benner, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2400    
Herbert A Nolan, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1405 Mill St, New London, WI 54961
Phone: 920-531-2400    

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.