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

Mrs. Amanda Marie Charniak, APNP

Individual provider Family Nurse Practitioner · NPI 1114653367

Mrs. Amanda Marie Charniak, APNP is a Nurse Practitioner in Green Bay, Wisconsin. Qualified in 2022, 4 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
4
Licensed in
WI
In the registry since
2022
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Practice location Address checks out

704 S Webster Ave
Green Bay, WI 54301-3528
Phone: (920) 433-7984
Fax: (920) 433-7974
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3021 Voyager Dr, Green Bay, WI 54311-8303 — (920) 496-4700

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 12111-33 (WI)

Record details

NPI number1114653367
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJuly 29, 2022
Last updated in NPPESMay 10, 2023
Certification dateMay 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Green Bay