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

Amanda Sue Molback, NP

Individual provider Nurse Practitioner · NPI 1083963219

Amanda Sue Molback, NP is a Nurse Practitioner in Menomonie, Wisconsin. Qualified in 2012, 14 years ago. Practices with Mayo Clinic Health System-Northwest Wisconsin Region Inc, a 799-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
14
Licensed in
WI
In the registry since
2012
What do these letters mean?
NP — Nurse Practitioner
An advanced practice nurse who can diagnose, treat and in most states prescribe.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2321 Stout Rd
Menomonie, WI 54751-7003
Phone: (715) 235-5531
Fax: (715) 233-7645
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 4987-33 (WI)

Record details

NPI number1083963219
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP
Sole proprietorNo
NPI enumeratedSeptember 4, 2012
Last updated in NPPESFebruary 16, 2021
Certification dateFebruary 16, 2021
Mailing address200 1st St Sw, Rochester, MN 55905-0002

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Mayo Clinic Health System-Northwest Wisconsin Region Inc — 799 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Menomonie