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

Amanda Blackthorn, APNP

Individual provider Nurse Practitioner · NPI 1750750931

Amanda Blackthorn, APNP is a Nurse Practitioner in Madison, Wisconsin. Qualified in 2015, 11 years ago. Practices with Dean Health Systems Inc, a 1,184-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
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Practice location Address checks out

1821 S Stoughton Rd
Madison, WI 53716-2257
Phone: (608) 260-6000
Fax: (608) 260-6881
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 752 N High Point Rd, Madison, WI 53717-2236 — (608) 824-4000

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 6642 (WI)

Record details

NPI number1750750931
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedSeptember 17, 2015
Last updated in NPPESMarch 1, 2022
Certification dateMarch 1, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dean Health Systems Inc — 1184 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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