Samuel D Brauer, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5381-23 Issued in WI

Practice address

2222 Kwik Trip Way
La Crosse, WI 54603-3238

Phone

(608) 781-5848

Fax

(608) 781-5587

NPI assigned

Nov 11, 2015

Last updated

Mar 24, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, WI2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regional Health Services of Howard CountyGroup PAC ID 1153238977, 27 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Regional Health Services of Howard County Hospital, Cresco, IA, CCN 161328

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.brauer@avera.sdhealthlink.net
• Direct secure messaging: sbrauer135868@direct.gundersenhealth.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Gundersen Clinic LTD

  • Clinic/Center
  • La Crosse, WI
  • NPI 1851343115

  IA

  Medicare reassignment NPD
• Regional Health Services of Howard County

  dba Elma Medical Clinic

  • Rural Health Clinic/Center
  • Elma, IA
  • NPI 1104440809
  Care Compare group NPD
• Pivotal Health, Inc.

  • Family Medicine Physician
  • Middleton, WI
  • NPI 1508465220
  Medicare reassignment
• Palmer Lutheran Health Center, Inc.

  dba Gundersen Palmer Lutheran Hospital and Clinics

  • Critical Access Hospital
  • West Union, IA
  • NPI 1891744108
  Medicare reassignment
• Regional Health Services of Howard County

  • Critical Access Hospital
  • Cresco, IA
  • NPI 1730283326
  Medicare reassignment
• Gundersen Lutheran Express Care, Inc

  • Clinic/Center
  • La Crosse, WI
  • NPI 1043446974
  NPD
• Premise Health of Wisconsin Medical, S.C.

  dba Kwik Trip Center for Health at La Crosse

  • Multi-Specialty Clinic/Center
  • La Crosse, WI
  • NPI 1003591223
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Regional Health Services of Howard County

  • Critical Access Hospital
  • Cresco, IA
  • NPI 1417991316
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1013380138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 WASHINGTON ST",
            "city": "DECORAH",
            "state": "IA",
            "postal_code": "521012266",
            "telephone_number": "507-206-9472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 KWIK TRIP WAY",
            "city": "LA CROSSE",
            "state": "WI",
            "postal_code": "546033238",
            "telephone_number": "608-781-5848",
            "fax_number": "608-781-5587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRAUER",
        "first_name": "SAMUEL",
        "middle_name": "D",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-11",
        "last_updated": "2022-03-24",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079619",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MN",
            "license": "12647",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WI",
            "license": "5381-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Brandau Hynek, PHD
• Angela Brandl, PHARMD
• Andrea Marie Branson, CNP
• Sierra Branson, PTA
• Autumn Marie Brauer
• Brave Spaces Counseling and Wellness, LLC
• Hailey Elizabeth Bray
• Samantha Lynne Brecht, PA-C
• Breidenbach Family and Sports Chiropractic Inc
• Benjamin John Breidenbach

• Physician Assistant in La Crosse, WI
• Providers in La Crosse, WI by specialty
• Physician Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.