Amanda Kay Douma, APNP
NPI 1043697048ActiveIndividual· Nurse Practitioner, Family· New London, WI
Nurse Practitioner, Family (APNP) with Thedacare, Incorporated, practicing in New London, Wisconsin. Their prescriptions cost Medicare Part D more than their services did: $342,026 for 1,281 claims, against $13,469 paid for services in 2024. Lists Thedacare Medical Center - New London and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1043697048 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | APNP |
| Sole proprietor | No |
| NPI issued | Apr 29, 2015 |
| Last updated in NPPES | Jun 3, 2025 |
| Certified by provider | Jun 3, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 6264 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (WI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 128 |
|---|---|
| Services billed | 192 across 16 procedure codes |
| Paid by Medicare | $13,469 |
Part D prescriptions in 2024
| Prescriptions (claims) | 1,281 · 2,677 30-day fills |
|---|---|
| Patients | 351 |
| Total drug cost | $342,026 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 2014 |
|---|---|
| Medicare specialty | Nurse Practitioner |
| Telehealth | Offers telehealth |
Medical group
- Thedacare, IncorporatedWaupaca, WI · 647 clinicians
Hospital affiliations
- Thedacare Medical Center - New LondonNew London, WI
- Thedacare Medical Center - Wild RoseWild Rose, WI
- Thedacare Medical Center-WaupacaWaupaca, WI
- Thedacare Regional Med Ctr - NeenahNeenah, WI
- Thedacare Regional Medical Center - Appleton IncAppleton, WI
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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