Individual ProviderAmber SextonNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3631(414) 649-6780PECOS EnrollmentBased on the most recent information from CMS, provider Amber Sexton is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1891411567Provider TypeIndividualFull NameSexton, AmberCredentialAPNPGenderFemaleSole ProprietorNoEnumeration Date10/14/2022Last Updated2/22/2023Contact InformationPractice LocationPractice Address2801 W Kinnickinnic River Pkwy Ste 260, Milwaukee, WI 53215-3631Phone(414) 649-6780FaxUnlisted FaxMailing LocationMailing Address3301 W Forest Home Ave, Milwaukee, WI 53215-2843Phone(414) 649-6780Fax(414) 649-6030Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense13229-33WisconsinProvider IdentifiersIDDescriptionIssuerID100224722DescriptionMedicaidIssuerUnlistedWisconsin