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

Dr. Amy Jo Clark, APNP

Individual provider Registered Nurse · NPI 1265969356

Dr. Amy Jo Clark, APNP is a Nurse Practitioner in Sheboygan, Wisconsin. Qualified in 2017, 9 years ago. Practices with Sheboygan Physicians Group SC, a 15-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
9
Licensed in
WI
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1621 N Taylor Dr Ste 100
Sheboygan, WI 53081-1993
Phone: (920) 452-1650
Fax: (920) 452-3594
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 7806-33 (WI)
Registered Nurse Taxonomy 163W00000X · Licence 161099-30 (WI)

Record details

NPI number1265969356
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedMay 19, 2017
Last updated in NPPESDecember 30, 2021
Certification dateDecember 29, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Sheboygan Physicians Group S.C. — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Sheboygan