Individual provider Active NPI

Suzanne Victoria Powell, MD

  • Hospitalist Physician
  • Green Bay, WI
National Provider Identifier
1265458053
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
44341 Issued in WI
Practice address
141 Siegler St
Dept of Veterans Affairs
Green Bay, WI 54303-2635
Phone
(920) 497-3126
Fax
(920) 497-3176
NPI assigned
Jul 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 44341 WI Primary

Addresses

Primary practice location

141 Siegler St
Dept of Veterans Affairs
Green Bay, WI 54303-2635

Mailing address

141 Siegler St
Dept of Veterans Affairs
Green Bay, WI 54303-2635
Phone (920) 497-3126

Other identifiers 1

IdentifierTypeStateIssuer
34275300MedicaidWI

Electronic endpoints 2

TypeEndpointUseAffiliation
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Direct Messaging Address spowell293278@direct.myadvocateaurora.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081030000730 WI Practitioner - HospitalistPractitioner - Internal Medicine 6709777444 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Aspirus Wausau Hospital IncGroup PAC ID 6406757442, 242 clinicians

Practice addresses (Care Compare)

333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866

Hospital & facility affiliations

  • Aspirus Wausau Hospital Hospital, Wausau, WI, CCN 520030
  • Aspirus Stevens Point Hospital & Clinics, Inc. Hospital, Stevens Point, WI, CCN 520002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
44341WIMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Wausau Hospital, Inc. Current Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 1, 2025 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee, Inc Current Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 24, 2025 Accepting new patients
Thedacare, Incorporated CurrentSince Jul 1, 2015 Accepting new patients
Aspirus Riverview Hospital & Clinics, Inc. CurrentSince Oct 16, 2023 Accepting new patients
Ascension Medical Group-Fox Valley Wisconsin, Inc CurrentSince Jan 24, 2025 Accepting new patients
Oak Medical SC CurrentSince Jul 1, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 1, 2017 Accepting new patients
Columbia St. Mary'S Hospital Milwaukee Inc CurrentSince Oct 1, 2025 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Apr 2, 2022 Accepting new patients
Aspirus Wausau Hospital Inc CurrentSince Jul 1, 2023 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince May 1, 2017 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

1506 S Oneida St
Appleton, WI 54915
Phone (920) 730-4950

4480 W Spencer St
Appleton, WI 54914
Phone (920) 738-4800

1501 S Madison St
Appleton, WI 54915
Phone (920) 730-4435

225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313

4425 N Port Washington Rd
Glendale, WI 53212
Phone (414) 326-2218

1726 Shawano Ave
Green Bay, WI 54303
Phone (920) 432-6016

835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246

1110 Kepler Dr
Green Bay, WI 54311
Phone (920) 288-4712

2300 Western Ave
Manitowoc, WI 54220
Phone (920) 320-2011

2323 N Lake Dr
Milwaukee, WI 53211
Phone (414) 291-1000

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

1405 Mill St
New London, WI 54961
Phone (920) 531-2000

600 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 237-5000

2700 W 9th Ave
Oshkosh, WI 54904
Phone (920) 223-0220

1414 N Taylor Dr
Sheboygan, WI 53081
Phone (920) 320-2011

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

13111 N Port Washington Rd
Thiensville, WI 53097
Phone (262) 243-7300

N20W22961 Watertown Rd
Waukesha, WI 53186
Phone (262) 875-5070

425 Wind Ridge Dr
Wausau, WI 54401
Phone (715) 675-3391

333 Pine Ridge Blvd
Wausau, WI 54401
Phone (715) 847-2160

201 N Mayfair Rd
Fl 2
Wauwatosa, WI 53226
Phone (414) 771-8228

410 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-5257

420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474

Interoperability endpoints

  • Direct secure messaging: spowell293278@direct.myadvocateaurora.org

Organizations & group practices 13

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

View all 13

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1265458053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 SIEGLER ST",
            "address_2": "DEPT OF VETERANS AFFAIRS",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032635",
            "telephone_number": "920-497-3126",
            "fax_number": "920-497-3176"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 SIEGLER ST",
            "address_2": "DEPT OF VETERANS AFFAIRS",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543032635",
            "telephone_number": "920-497-3126",
            "fax_number": "920-497-3176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SUZANNE",
        "middle_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "44341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34275300",
            "state": "WI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "141 Siegler St",
            "address_2": "Dept of veterans affairs",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543032635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spowell293278@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "141 Siegler St",
            "address_2": "Dept of veterans affairs",
            "city": "Green Bay",
            "state": "WI",
            "country_code": "US",
            "postal_code": "543032635",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Green Bay, WI

Sources for this page

Verify at the official NPI Registry.