AMANDA M REDA-GOGLIO (APNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1063980845
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,035 NURSE PRACTITIONER in WI
Provider Addresses for AMANDA M REDA-GOGLIO (APNP)
1343 Park Ave
Columbus, WI 539251614
Phone: (920) 623-5578
Fax: (920) 623-9830
Type: Location
2901 Hunters Trl
Portage, WI 539013403
Phone: (608) 742-5518
Fax: (608) 742-4087
Type: Location
199, County Road DF, Juneau, Town of Oak Grove, Dodge County, Wisconsin, 53039, United States
JUNEAU, WI 53039
Phone: (920) 386-3492
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 119 Open Payments records for all available years, with a total value of $3,163.
Total Amount is formed as General ($3,163) + Research ($0) + Ownership ($0) = $3,163.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: ABBVIE INC. ($695).
Total Amount
$3,163
General + Research + Ownership
Payments
119
Total payment records
General Amount
$3,163
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $695 |
| Alkermes, Inc. | $451 |
| Neuronetics, Inc. | $322 |
| Janssen Pharmaceuticals, Inc | $247 |
| Otsuka America Pharmaceutical, Inc. | $169 |
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: 2018-12-14
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20181214000222 | I | Nurse Practitioner | WI | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 95 | 23 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 75 | 18 | $0 |
Insurance plans in this area (ZIP 53925)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | WI | |
| Nurse Practitioner | WI | |
| P S Y C H I A T R Y | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI |
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