AMY C NOWAK (NPI# 1912426925) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912426925 |
| Entity Type | Individual |
| Full Name | AMY C NOWAK |
| Credential | AGPCNP-BC |
| Practice Address |
2219 Garfield St Two Rivers WI 54241 |
| Mailing Address |
2219 Garfield St Two Rivers WI 54241-2416 |
| Practice Telephone | 9207932281 |
| Mailing Telephone | 9207932281 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2018-09-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | 7854-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
7854-33 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| W144n4876 Stone Dr, Menomonee Falls, WI 530516931 | (414) 573-7971 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831339100 | Amy Lynn Nowak | Registered Nurse | 8814 Della Dr, Woodruff, WI 54568-9327 | 2009-02-26 |
| Street Address |
2219 GARFIELD ST |
| City | TWO RIVERS |
| State | WI |
| Zip Code | 54241 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881675569 | Jeffrey S. Nesta | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2005-11-09 |
| 1174980072 | Terra L Hartman | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2016-01-22 |
| 1316330087 | Carey L Willman | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2015-03-05 |
| 1063831022 | Janna A Kroiss | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241 | 2014-04-07 |
| 1336436559 | Aurora Pharmacy Inc | Pharmacy | 2219 Garfield St, Suite 100, Two Rivers, WI 54241-2416 | 2011-07-08 |
| 1912214933 | Benjamin J Wass | Physician Assistant | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2010-09-13 |
| 1487882320 | Elmer L Linboom | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2009-06-30 |
| 1215163720 | Bryan J Mulheron | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2009-06-10 |
| 1982871489 | Comprehensive Cardiovascular Care, LLP | Internal Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2008-05-14 |
| 1437373586 | Tracy L Sherman | Family Medicine | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2007-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629617667 | Karrie May Kudrna Behrent | Counselor | Phoenix Behavioral Health Services LLC, 3120 Memorial Dr., Two Rivers, WI 54241 | 2019-12-21 |
| 1972147460 | Linda Sand | Technician | 11409 Wedge Dr., Two Rivers, WI 54241 | 2019-10-29 |
| 1710536446 | Margaret Smith | Technician | 1916 Roosevelt Ave, Two Rivers, WI 54241 | 2019-09-05 |
| 1770967572 | Baycare Clinic LLP | Ophthalmology | 1603 Washington Street, Two Rivers, WI 54241 | 2015-07-13 |
| 1194091322 | Fisher Chiropractic and Rehab Center LLC | Chiropractor | 1817 Washington Street, Two Rivers, WI 54241 | 2012-04-02 |
| 1396075016 | Holly Lynn Struck | Physical Therapist | 5300 Memorial Drive, Two Rivers, WI 54241 | 2009-12-31 |
| 1558451906 | David James Loritz | Dentist | 1413 22nd St, Two Rivers, WI 54241 | 2006-10-14 |
| 1598737744 | City of Two Rivers | Ambulance | 2122 Monroe St, Two Rivers, WI 54241 | 2006-02-02 |
| 1689156481 | Tyler Luedtke | Physical Therapist | 5300 Memorial Dr, Two Rivers, WI 54241 | 2018-08-29 |
| 1568907772 | Carolyn Jansen | Physical Therapist | 5300 Memorial Dr, Aurora Rehabilitation Center, Two Rivers, WI 54241 | 2016-12-23 |
| Find all providers in zip 54241 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659898385 | Sandra R Van Groll | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-08-23 |
| 1689112492 | Amber M Schmitz | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2017-02-01 |
| 1952850497 | Ann E Farber | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-09-26 |
| 1386090512 | Nathan Wallenfang | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2016-05-06 |
| 1669832887 | Philip M Micksch | Nurse Practitioner | 5300 Memorial Dr, Suite 303, Two Rivers, WI 54241-3923 | 2016-03-01 |
| 1174980072 | Terra L Hartman | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241-2416 | 2016-01-22 |
| 1316330087 | Carey L Willman | Nurse Practitioner | 2219 Garfield St, Two Rivers, WI 54241 | 2015-03-05 |
| 1013317254 | Joanna Smogoleski | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241-3923 | 2014-08-25 |
| 1174958193 | Erica L Dessart | Nurse Practitioner | 5300 Memorial Dr, Two Rivers, WI 54241 | 2013-09-10 |
| 1417267758 | Jennifer L Mcdole | Nurse Practitioner | 5000 Memorial Dr, Two Rivers, WI 54241-3900 | 2010-10-20 |
| Find all providers in TWO RIVERS | ||||
| City | TWO RIVERS |
| Zip Code | 54241 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.