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

Mrs. Amanda Elizabeth Rodriguez, APNP

Individual provider Nurse Practitioner · NPI 1154919769

Mrs. Amanda Elizabeth Rodriguez, APNP is a Nurse Practitioner in Appleton, Wisconsin. Qualified in 2020, 6 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2021
Specialties on file
2
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Practice location Address checks out

900 E Grant St
Appleton, WI 54911-3487
Phone: (920) 831-5050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10410 (WI)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 10410-33 (WI)

Record details

NPI number1154919769
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJanuary 8, 2021
Last updated in NPPESJanuary 19, 2021
Certification dateJanuary 19, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Appleton