Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Amanda R Smith, APNP

Individual provider Family Nurse Practitioner · NPI 1306010004

Amanda R Smith, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2007, 19 years ago. Practices with Primary Care Associates of Appleton, Ltd, a 32-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
19
Licensed in
WI
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

3916 N Intertech Ct
Appleton, WI 54913-6957
Phone: (920) 996-1000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 3318-33 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3318-33 (WI)

Record details

NPI number1306010004
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedApril 15, 2008
Last updated in NPPESMarch 7, 2022
Certification dateMarch 7, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Primary Care Associates Of Appleton, Ltd — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Appleton