Active NPI
Samantha Sue Kapphahn, D.O.
- Cardiovascular Disease Physician
- Appleton, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 73723
- Practice address
- 1818 N Meade St
Appleton, WI 54911-3454 - Phone
- (920) 731-8900
- NPI assigned
- Jun 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 12901 | ND | |
| Internal Medicine Physician | 207R00000X | 245350 | NY | |
| Interventional Cardiology Physician | 207RI0011X | 12901 | ND | |
| Cardiovascular Disease Physician | 207RC0000X | 73723 | WI | Primary |
Addresses
Primary practice location
1818 N Meade St
Appleton, WI 54911-3454
Mailing address
1818 N Meade St
Appleton, WI 54911-3454
Phone (920) 731-8900
Other practice location 1
3000 32nd Ave S
Fargo, ND 58103-6132
Phone (701) 364-8000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18216 | Medicaid | ND |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Oconto Hospital and Medical Center IncBellin Memorial Hospital Inc
Practice addresses (Care Compare)
107 E Highland Dr
Oconto Falls, WI 54154-1002
Phone (920) 846-3092
1414 W Fair Ave
Marquette, MI 49855-5407
Phone (906) 225-6701
2820 Roosevelt Rd
Marinette, WI 54143-3834
Phone (715) 735-5225
307 Manor Dr
Suring, WI 54174-9182
Phone (920) 842-2144
3401 Ludington St
Escanaba, MI 49829-1300
Phone (906) 786-5707
3409 Ludington St
Escanaba, MI 49829-4213
744 S Webster Ave
2 Bellin Health Cardiology Associates Green
Green Bay, WI 54301-3505
Phone (920) 433-3640
820 Arbutus Ave
Oconto, WI 54153-2004
Phone (920) 835-1100
Hospital & facility affiliations
- Bellin Memorial Hospital
- Osf St Francis Hospital and Medical Group
- Bellin Health Oconto Hospital
- Door County Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12901 | ND | MD | Internal Medicine Physician |
| 245350 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Cardiovascular Disease | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Internal Medicine | Current | Accepting new patients |
| St. Francis Hospital | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Osf Multi-Specialty Group | Internal Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| St. Francis Hospital | Internal Medicine | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| St Francis Hospital | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Past | Accepting new patients |
Locations
2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276
3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343
3409 Ludington St
Ste 206
Escanaba, MI 49829
Phone (906) 786-7471
440 Woodward Ave
Iron Mountain, MI 49801
Phone (906) 776-9040
1414 W Fair Ave
Ste 390
Marquette, MI 49855
Phone (906) 225-3881
744 S Webster Ave
Fl 2
Green Bay, WI 54301
744 S Webster Ave
#2
Green Bay, WI 54301
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
3415 Custer St
Ste D
Manitowoc, WI 54220
Phone (920) 652-9310
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- skapphahn296060@direct.thedacare.org
- skapphahn334932@direct.thedacare.org
- skapphahn925411@direct.emplifyhealth.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.
-
- Obstetrics & Gynecology Physician
- Escanaba, MI
- NPI 1700828837
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Cardiovascular Disease Physician
- Crystal Falls, MI
- NPI 1376649509
-
- Multi-Specialty Clinic/Center
- Manitowoc, WI
- NPI 1437829975
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Internal Medicine
-
- Family Medicine Physician
- Pulaski, WI
- NPI 1609838390
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
-
- Family Medicine Physician
- Escanaba, MI
- NPI 1245565878
-
- Anatomic Pathology & Clinical Pathology Physician
- Escanaba, MI
- NPI 1932206455
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
-
- Critical Access Hospital
- Sturgeon Bay, WI
- NPI 1093743874
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Critical Access Hospital
- Escanaba, MI
- NPI 1922058551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1213056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1622764800000",
"number": "1548420904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-731-8900",
"fax_number": "920-225-1414"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1818 N MEADE ST",
"city": "APPLETON",
"state": "WI",
"postal_code": "549113454",
"telephone_number": "920-731-8900"
}
],
"practiceLocations": [
{
"address_1": "3000 32nd Ave S",
"address_purpose": "LOCATION",
"city": "Fargo",
"state": "ND",
"postal_code": "581036132",
"country_code": "US",
"telephone_number": "701-364-8000",
"fax_number": "701-364-8078",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAPPHAHN",
"first_name": "SAMANTHA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-10",
"last_updated": "2021-06-04",
"certification_date": "2021-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "ND",
"license": "12901",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "245350",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "ND",
"license": "12901",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "WI",
"license": "73723",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "18216",
"state": "ND"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Appleton, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.