Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Amanda J Robertson, PA-C

Individual provider Athletic Trainer · NPI 1437589124

Amanda J Robertson, PA-C is a Physician Assistant in Green Bay, Wisconsin. Qualified in 2017, 9 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2013
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

835 S Van Buren St
Green Bay, WI 54301-3526
Phone: (414) 290-6720
Fax: (414) 290-6755
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1726 Shawano Ave, Green Bay, WI 54303-3216 — (414) 290-6720
  • 933 Newbury St, Ripon, WI 54971-1730 — (920) 748-3101

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 4063-23 (WI)
Athletic Trainer Taxonomy 2255A2300X · Licence 1507-39 (WI)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1437589124
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedNovember 18, 2013
Last updated in NPPESDecember 21, 2021
Certification dateDecember 21, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Green Bay