AMANDA S OLSEN (PA-C) – Physician Assistant, NPI 1407154354
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,678 PHYSICIAN ASSISTANT in WI
Provider Addresses for AMANDA S OLSEN (PA-C)
2400 WITZEL AVE STE A
OSHKOSH, WI 549048375
Phone: (920) 233-1540
Fax: (920) 651-6951
Type: Mailing
2400 WITZEL AVE
STE. A
OSHKOSH, WI 549048374
Phone: (920) 233-1540
Fax: (920) 651-6951
Type: Location
2700 E Enterprise Ave Ste A
Appleton, WI 549137656
Phone: (920) 965-1234
Fax: (920) 965-1232
Type: Location
2200 DICKINSON RD UNIT 17B
DE PERE, WI 541154070
Phone: (920) 965-1234
Fax: (920) 965-1232
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 17 Open Payments records for all available years, with a total value of $517.
Total Amount is formed as General ($517) + Research ($0) + Ownership ($0) = $517.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: ABBVIE INC. ($392).
Total Amount
$517
General + Research + Ownership
Payments
17
Total payment records
General Amount
$517
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $392 |
| Incyte Corporation | $66 |
| Novartis Pharmaceuticals Corporation | $22 |
| Janssen Biotech, Inc. | $20 |
| Lilly USA, LLC | $17 |
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: 2014-06-18
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 |
|---|---|---|---|---|
| I20140618000859 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 54904)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Plastic And Reconstructive Surgery, Pediatric Medicine | WI | |
| Physician Assistant | WI | |
| Physician Assistant | WI | |
| - | WI |
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