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

Amanda Lynn Oeder, PA

Individual provider Physician Assistant · NPI 1053936088

Amanda Lynn Oeder, PA is a Physician Assistant in Waukesha, Wisconsin. Qualified in 2021, 5 years ago. Practices with Banner Hospital Based Physicians Colorado LLC, a 82-clinician group and accepts Medicare assignment. Licensed in Colorado and Wisconsin.

Years since qualifying
5
Licensed in
CO, WI
In the registry since
2020
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

N16W24131 Riverwood Dr
Waukesha, WI 53188-1106
Phone: (262) 696-0909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5504 (WI)
Physician Assistant Taxonomy 363A00000X · Licence PA.0009263 (CO)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1053936088
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 16, 2020
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Banner Hospital Based Physicians Colorado Llc — 82 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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