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

Individual provider Obstetrics & Gynecology Physician · NPI 1992408587

Amanda Wallace, APRN is a Nurse Practitioner in Appleton, Wisconsin. Graduated from University of South Alabama College of Medicine in 2022, 4 years ago. Practices with Womens Health Specialists SC, a 27-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
4
Trained at
University of South Alabama College of Medicine
Licensed in
WI
In the registry since
2023
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

1531 S Madison St Fl 3
Appleton, WI 54915-1800
Phone: (920) 749-4000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence APRN11024430 (WI)

Record details

NPI number1992408587
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedMarch 23, 2023
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025
Mailing address1531 S Madison St Fl 3, Appleton, WI 54915-1800

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduated 2022 (4 years in practice)
Group practice Womens Health Specialists Sc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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