Amanda Lynn Rucinski is a Nurse Practitioner practicing in Green Bay, Wisconsin. The National Provider Identifier (NPI) is #1518840610, which was assigned on July 28, 2025, and the registration record was last updated on October 27, 2025. The practitioner's main practice location is at 2845 Greenbrier Rd, Green Bay, WI 54311-6519; the contact telephone number is 4143892531. The primary taxonomy of Amanda Lynn Rucinski is Nurse Practitioner (363L00000X). Amanda Lynn Rucinski is licensed to practice in the state of Wisconsin (#16987-33), Wisconsin (#16987-33).
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
| NPI | 1518840610 |
| Entity Type | Individual |
| Provider Name | AMANDA LYNN RUCINSKI |
| Gender | Female |
| Credential | AGNP-C |
| Practice Address |
2845 Greenbrier Rd Green Bay WI 54311-6519 |
| Practice Telephone | 4143892531 |
| Mailing Address |
Po Box 735041 Chicago IL 60673-5041 |
| Mailing Telephone | 8003262250 |
| Certification Date | 2025-10-27 |
| Enumeration Date | 2025-07-28 |
| Last Update Date | 2025-10-27 |
| Is Sole Proprietor | N |
| Primary | Code | Classification | Specialization | Taxonomy Group | License Number | License State |
|---|---|---|---|---|---|---|
| N | 363LG0600X | Nurse Practitioner | Gerontology | 16987-33 | WI | |
| Y | 363L00000X | Nurse Practitioner | 16987-33 | WI |
| Other Identifier | Issuing State | Issuer | Identifier Type |
|---|---|---|---|
| 100370212 | WI | MEDICAID |
| Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| Classification | Nurse Practitioner |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses' Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| Code | 363LG0600X |
| Taxonomy | Gerontology Nurse Practitioner |
| Classification | Nurse Practitioner |
| Specialization | Gerontology |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Definition: Definition to come... |
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| Street Address |
2845 GREENBRIER RD |
| City | GREEN BAY |
| State | WI |
| Zip Code | 54311-6519 |
| Country | US |
| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Kaylee Marie Luck | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Urology Physician | 2020-03-26 |
| Hannah Noelle Juckem | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Certified Registered Nurse Anesthetist | 2024-09-07 |
| Mary L Verkuilen | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Nurse Practitioner | 2025-02-28 |
| Karissa A Glass | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Nurse Practitioner | 2024-11-06 |
| Kallianne Nicole Mikesch | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Physician Assistant | 2025-04-07 |
| Brianne Conklin | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Family Nurse Practitioner | 2021-11-02 |
| Caitlin Hester | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Certified Registered Nurse Anesthetist | 2023-07-31 |
| Kelly Lauretta Retzlaff | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Audiologist | 2021-09-28 |
| Kirsten Onome Akpoguma | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Student in an Organized Health Care Education/Training Program | 2022-02-06 |
| Constance Panton | 2845 Greenbrier Rd, Green Bay, WI 54311-6519 | Obstetrics & Gynecology Physician | 2021-04-01 |
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| Provider Name | Address | Taxonomy | Enumeration Date |
|---|---|---|---|
| Gabrielle Arline Rutherford | 2581 Development Dr, Green Bay, WI 54311-4247 | Registered Nurse | 2025-03-10 |
| County of Brown | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Case Management Agency | 2025-07-15 |
| Jennifer Ann Russell | 2851 University Ave, Green Bay, WI 54311 | Student in an Organized Health Care Education/Training Program | 2017-09-27 |
| Logan Wilz | 3150 Gershwin Dr, Green Bay, WI 54311-4328 | Clinical Psychologist | 2023-09-25 |
| Taylor Lauren Shefchik · Taylor Smiley | 2617 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-10-02 |
| Hannah E Miller · Hannah E Podvin | 2617 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2018-08-01 |
| Power of Peace Housing and Recovery Service LLC | 4414 Nicolet Dr Bay Wi54311, Green Bay, WI 54311-1100 | Assisted Living Facility (Behavioral Disturbances) | 2025-03-01 |
| Spencer Klein | 2605 Development Dr, Green Bay, WI 54311-4240 | Student in an Organized Health Care Education/Training Program | 2019-03-25 |
| Kelsey Rose Esser · Kelsey Janssen | 2605 Development Dr, Green Bay, WI 54311-4240 | Physician Assistant | 2024-05-30 |
| Semyon Zarkhin | 2617 Development Dr, Green Bay, WI 54311-4240 | Dermatology Physician | 2007-07-23 |
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| Amanda Lynn Hewitt | 7334 Chapel Hill Rd, Raleigh, NC 27607-5099 | Behavior Technician | 2025-09-18 |
| Amanda Lynn Eggleston · Amanda Lynn Hilling | 275 Se Cabot Dr Ste B207, Oak Harbor, WA 98277-3755 | Massage Therapist | 2024-07-18 |
| Amanda Lynn Ganoe | 1522 Liberty Rd Ste B, Sykesville, MD 21784-6548 | Social Worker | 2021-08-18 |
| Amanda Lynn Schuh · Amanda Lynn Krohn | 17489 Dodd Blvd, Lakeville, MN 55044-6506 | Psychiatric/Mental Health Nurse Practitioner | 2013-03-30 |
| Amanda Lynn Gale · Amanda Lynn Wetz | 2871 Belgarde Blvd Apt 305, Rapid City, SD 57702-9818 | Clinical Social Worker | 2011-04-19 |
| Amanda Lynn Cambouris · Amanda Kinsey | 2425 Medina Rd Ste 101, Medina, OH 44256-5381 | Primary Care Nurse Practitioner | 2021-11-02 |
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This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.
| Subject | Transparency and Disclosure |
| Jurisdiction | Federal |
| Data Provider | National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS) |
| Source | download.cms.gov |
The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number). All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid). Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008. This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information. |