Active NPI
Suzanne Victoria Powell, MD
- Hospitalist Physician
- Green Bay, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- 44341
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34275300 | Medicaid | WI |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081030000730 | WI | Practitioner - Hospitalist | 6709777444 | Reassigns benefits to 8 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- 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
Practice addresses (Care Compare)
333 Pine Ridge Blvd
Wausau, WI 54401-4102
Phone (715) 847-2866
Hospital & facility affiliations
- Aspirus Wausau Hospital
- Aspirus Stevens Point Hospital & Clinics, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44341 | WI | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspirus Wausau Hospital, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee, Inc | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Thedacare, Incorporated | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Ascension Medical Group-Fox Valley Wisconsin, Inc | Current | Accepting new patients | |
| Oak Medical SC | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Columbia St. Mary'S Hospital Milwaukee Inc | Current | Accepting new patients | |
| Froedtert Manitowoc Medical Group, LLC | Current | Accepting new patients | |
| Aspirus Wausau Hospital Inc | Current | Accepting new patients | |
| Aspirus Stevens Point Hospital & Clinics, Inc. | Current | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Neenah, WI
- NPI 1730126392
WI
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
WI
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
WI
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1023064482
WI
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
WI
-
- Cardiovascular Disease Physician
- Appleton, WI
- NPI 1831890177
-
- Clinic/Center
- Stevens Point, WI
- NPI 1679706022
-
- Clinic/Center
- Wausau, WI
- NPI 1588994933
-
- Multi-Specialty Clinic/Center
- Milwaukee, WI
- NPI 1225071491
Hospital & facility affiliations 12
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Practice Physician
- Stevens Point, WI
- NPI 1184082745
Hospital
-
- General Acute Care Hospital
- Stevens Point, WI
- NPI 1538112230
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2021; 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.