AMANDA J ROBERTSON (PA-C) – Physician Assistant, NPI 1437589124
Physician Assistant
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,672 PHYSICIAN ASSISTANT in WI
Provider Addresses for AMANDA J ROBERTSON (PA-C)
835 S VAN BUREN ST
GREEN BAY, WI 543013526
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
4565 HILLTOP DR
SUAMICO, WI 541738428
Phone:
Type: Mailing
N8641 CLIFF VIEW DR
RIPON, WI 549719539
Phone:
Type: Mailing
933 Newbury St
Ripon, WI 549711730
Phone: (920) 748-3101
Type: Location
1726 Shawano Ave
Green Bay, WI 543033216
Phone: (414) 290-6720
Fax: (414) 290-6755
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,002.
Total Amount is formed as General ($1,002) + Research ($0) + Ownership ($0) = $1,002.
Last reported payment date: 2024-12-26 • Largest payer in this snapshot: ABBVIE INC. ($341).
Total Amount
$1,002
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,002
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-26
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $341 |
| Janssen Biotech, Inc. | $224 |
| Ardelyx, Inc. | $171 |
| E.R. Squibb & Sons, L.L.C. | $119 |
| GENZYME CORPORATION | $110 |
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: 2017-08-30
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 |
|---|---|---|---|---|
| I20170830000331 | 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.
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 | 81 | 44 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 18 | 15 | $0 |
Insurance plans in this area (ZIP 54301)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| Physical Therapist In Private Practice | WI | |
| - | WI | |
| - | WI | |
| O B S T E T R I C S/ G Y N E C O L O G Y | WI | |
| Nurse Practitioner | WA | |
| Certified Registered Nurse Anesthetist (Crna) | WI | |
| Physical Therapist In Private Practice | WI |
Reviews
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