Amy Cavanaugh, NP - Medicare Nurse Practitioner in Plymouth, WI

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Amy Cavanaugh, NP is a medicare enrolled "Nurse Practitioner - Family" in Plymouth, Wisconsin. Her current practice location is 825 Walton Dr, Plymouth, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (920) 892-4322.

Amy Cavanaugh is licensed to practice in Wisconsin (license number 14309-33) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1477337061.

Contact Information

Amy Cavanaugh, NP
825 Walton Dr,
Plymouth, WI 53073-5022
(920) 892-4322
Not Available

Map and Direction




Provider's Profile

Full NameAmy Cavanaugh
GenderFemale
SpecialityNurse Practitioner - Family
Location825 Walton Dr, Plymouth, Wisconsin
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1477337061
  • Provider Enumeration Date: 08/23/2023
  • Last Update Date: 01/18/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 9537514559
  • Enrollment ID: I20231011003318

Medical Identifiers

Medical identifiers for Amy Cavanaugh such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477337061NPI-NPPES
100252605MedicaidWI

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LF0000XNurse Practitioner - Family 14309-33 (Wisconsin)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Amy Cavanaugh allows following entities to bill medicare on her behalf.
Entity NamePrevea Clinic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306869276
PECOS PAC ID: 0042123150
Enrollment ID: O20031106000034
Entity NameSt. Nicholas Hospital-sisters Of The Third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275799413
PECOS PAC ID: 8325931652
Enrollment ID: O20040202001172
Entity NameSt Vincent Hospital-hospital Sisters-third Order Of St Francis
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285613638
PECOS PAC ID: 5799694675
Enrollment ID: O20080620000423

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Amy Cavanaugh is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Amy Cavanaugh, NP
825 Walton Dr,
Plymouth, WI 53073-5022

Ph: () -		Amy Cavanaugh, NP
825 Walton Dr,
Plymouth, WI 53073-5022

Ph: (920) 892-4322

Reviews and Comments


Nurse Practitioner Nurses in Plymouth, WI

Amanda Otte,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Persnickety Pl, Plymouth, WI 53073
Phone: 920-892-3774    
Leah Fabis, APNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: One Persnickety Way, Plymouth, WI 53073
Phone: 888-893-6141    Fax: 608-338-0971
Anna Kutchie, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 825 Walton Dr, Plymouth, WI 53073
Phone: 920-496-4700    
Jennifer Lynn Stricker, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Persnickety Pl, Plymouth, WI 53073
Phone: 920-496-4700    
Mrs. Katie Sue Bruckner, APNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1 Persnickety Pl, Plymouth, WI 53073
Phone: 920-892-3468    Fax: 920-892-5385
Heather Meeusen,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 825 Walton Dr, Plymouth, WI 53073
Phone: 920-893-0903    
Jennifer Lee Scheel, APNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1 Persnickety Pl, Plymouth, WI 53073
Phone: 920-892-3468    Fax: 920-894-5485

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.