AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063384386

AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) is a healthcare provider. based in Fort atkinson, Wisconsin. specializing in NURSE PRACTITIONER. They hold the professional credentials BSN, APNP, PMHNP-BC. They hold a License No. 17441-33 (WI). The NPI Number for AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) is 1063384386

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC)
NPI
1063384386
Phone
(920) 541-3078
Address
511 MADISON AVE
Enumeration Date
18 September 2025
Last Update Date
18 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9206743105
Graduation Year
2025 (1 year ago)
PAC ID
9234618711
Group Practice PAC ID
2264496801
Professional Enrollment ID
I20260204004186
Address ID
WI535499803JE1541XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

6,035 NURSE PRACTITIONER in WI

Provider Addresses for AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC)

  • 511 MADISON AVE

    FORT ATKINSON, WI 535381444

    Phone: (920) 541-3078

    Type: Location

  • N5404 COUNTY ROAD Q

    JEFFERSON, WI 535499431

    Phone: (920) 723-4789

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-02-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260204004186INurse PractitionerWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 53538)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264496801View full group profile
NameSpecialtyState
Mental Health CounselorWI
P S Y C H I A T R YWI
Clinical Social WorkerWI
-WI
Clinical Social WorkerWI
Nurse PractitionerWI
Mental Health CounselorWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

What number should I use to identify AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) for billing?
Administrative and clinical systems typically use NPI 1063384386 for AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC).
Does the public listing show AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) as active?
AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC)'s NPI record reflects an active status in NPPES.
What does the directory say AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) does?
Insurance directories may phrase it differently, but here AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) maps to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What city is tied to AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC)?
The directory associates AMANDA LEE SCHMIDT (BSN, APNP, PMHNP-BC) with Fort Atkinson, Wisconsin. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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