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

Amanda Nicole Peters, PA

Individual provider Physician Assistant · NPI 1063046761

Amanda Nicole Peters, PA is a Physician Assistant in Brillion, Wisconsin. Qualified in 2020, 6 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
6
Licensed in
WI
In the registry since
2020
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

See every abbreviation used in this directory →

Practice location Address checks out

964 W Ryan St
Brillion, WI 54110-1076
Phone: (920) 756-2055
Fax: (920) 756-3350
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2015 Shawano Ave, Green Bay, WI 54303-2606 — (920) 592-9478
  • 1976 Lime Kiln Rd, Green Bay, WI 54311-4417 — (920) 406-9865

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 5094 (WI)

Record details

NPI number1063046761
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESJanuary 3, 2023
Certification dateJanuary 3, 2023

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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