Doctor profile · Federal record

Dr. Amy Fannin, APNP

Adult Health Nurse Practitioner (CMS: Nurse Practitioner) · Fond du LAC, WI

  • NPI 1093124265
  • Accepts Medicare
  • 12 yrs in practice
  • Female
  • Group practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
430 E Division St
Fond du LAC, WI 549354560
(920) 926-4530
fax (920) 926-8953
Mailing address
420 E Division St
Fond du LAC, WI 549354560

Credentials & registration

NPPES · NUCC
NPI registered
August 2014 — 12 yrs on file
Profile last updated
December 21, 2020
Year of graduation
2014 — 12 yrs since
Specialty taxonomy
363LA2200X — NUCC code
State license (1)
Wisconsin #5904-33

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1093124265. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
193
Distinct HCPCS
4
Medicare allowed
$14,407
HCPCS Description Services Patients Avg allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 61 36 $64
99214 Established patient office or other outpatient visit, 30-39 minutes 56 26 $79
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 39 34 $105
99213 Established patient office or other outpatient visit, 20-29 minutes 37 26 $53

In context: peer comparison

Among 7 peers in this city , average services per provider: 91. This provider delivers 2.1× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
204
Patients
27
Total drug cost
$12,331
Drug Type Claims Patients Total cost
Doxycycline Hyclate Generic 68 15 $5,834
Amoxicillin Generic 35 0 $619
Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) Brand 35 12 $1,340
Cephalexin Generic 31 0 $1,114
Dicloxacillin Sodium Generic 12 0 $1,694
Doxycycline Monohydrate Generic 12 0 $759
Cefazolin Sodium Generic 11 0 $971

Frequently asked questions

Auto-generated from federal data
What is Dr. Amy Fannin's medical specialty?
Dr. Amy Fannin practices Adult Health Nurse Practitioner in Fond du LAC, WI.
Where does Dr. Amy Fannin practice?
Dr. Amy Fannin practices at 430 E Division St, Fond du LAC, WI 549354560. Office phone: 9209264530.
What is Dr. Amy Fannin's NPI?
Dr. Amy Fannin's National Provider Identifier (NPI) is 1093124265, issued by NPPES.
Does Dr. Amy Fannin accept Medicare assignment?
Yes. Dr. Amy Fannin accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Amy Fannin commonly perform?
Top Medicare-reported procedures in 2023: Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Established patient office or other outpatient visit (HCPCS 99214); Initial hospital care with straightforward or low-level medical decision making (HCPCS 99222). Source: CMS Medicare Physician & Other Practitioners file.