AMANDA F GOPLEN APRN FNP NPI 1366798902

NPI Information

NPI: 1366798902
Provider Name: AMANDA F GOPLEN, APRN, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
600 HIGHLAND AVE
MADISON, WI
ZIP 53792
Phone: (608) 263-6400
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Amanda F Goplen, APRN, FNP is a family nurse practitioner in Madison, WI with 12 years of experience. Amanda F Goplen, APRN, FNP NPI is 1366798902. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

600 HIGHLAND AVE
MADISON, WI
ZIP 53792-001
Phone: (608) 263-6400
Fax: (608) 833-6965

The NPI 1366798902 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2012 and was last updated on 1/7/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163W00000X	Registered Nurse		119966	IOWA	No
2	163W00000X	Registered Nurse		191157-30	WISCONSIN	No
3	363LF0000X	Nurse Practitioner	Family	4924-33	WISCONSIN	Yes
4	363LF0000X	Nurse Practitioner	Family	2012005964	MARYLAND	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	GOPLEAMA	OTHER	WISCONSIN	MERCYCARE INSURANCE
2	1366798902	OTHER	WISCONSIN	BCBSWI
3	1366798902	MEDICAID	WISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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