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

Amanda McConville

Individual provider Nurse Practitioner · NPI 1063259489

Amanda McConville is a Nurse Practitioner in Portage, Wisconsin. Qualified in 2024, 2 years ago. Practices with Community Service Associates, SC, a 35-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

2901 Hunters Trl
Portage, WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 268-9780
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2702 International Ln Ste 102, Madison, WI 53704-3117 — (608) 405-5712
  • 119 Prairie Heights Dr, Verona, WI 53593-2333 — (608) 370-3641

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 15536 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 15536 (WI)

Record details

NPI number1063259489
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 12, 2024
Last updated in NPPESMarch 27, 2026
Certification dateMarch 27, 2026
Mailing address119 Prairie Heights Dr, Verona, WI 53593-2333

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Community Service Associates, Sc — 35 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Portage