Individual provider Active NPI

Samantha Sue Kapphahn, D.O.

  • Cardiovascular Disease Physician
  • Appleton, WI
National Provider Identifier
1548420904
Registry record updated Jun 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
73723 Issued in WI
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

Updated by the provider on Jun 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
18216MedicaidND

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200922002754 WI Practitioner - Cardiovascular Disease (Cardiology) 0345483384 Reassigns benefits to 4 organizations
I20231106001699 MI Practitioner - Interventional Cardiology 0345483384 Reassigns benefits to 2 organizations

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 IncGroup PAC ID 2163461781, shared by 12 NPIs, 217 clinicians
Bellin Memorial Hospital IncGroup PAC ID 8820900749, shared by 10 NPIs, 685 clinicians
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians

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 Hospital, Green Bay, WI, CCN 520049
  • Osf St Francis Hospital and Medical Group Hospital, Escanaba, MI, CCN 231337
  • Bellin Health Oconto Hospital Hospital, Oconto, WI, CCN 521356
  • Door County Medical Center Hospital, Sturgeon Bay, WI, CCN 521358

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12901NDMDInternal Medicine Physician
245350NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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 CurrentSince Oct 30, 2023 Accepting new patients
St. Francis Hospital Current Accepting new patients
Oconto Hospital & Medical Center Inc CurrentSince Dec 15, 2023 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Jun 8, 2024 Accepting new patients
Bellin Memorial Hospital Inc Current Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Nov 15, 2023 Accepting new patients
St. Francis Hospital Internal Medicine CurrentSince Dec 11, 2023 Accepting new patients
Bellin Memorial Hospital Inc CurrentSince Oct 30, 2023 Accepting new patients
St Francis Hospital CurrentSince Dec 11, 2023 Accepting new patients
Bellin Memorial Hospital Inc PastSince Jun 8, 2024 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

  • Direct secure messaging: skapphahn296060@direct.thedacare.org
  • Direct secure messaging: skapphahn334932@direct.thedacare.org
  • Direct secure messaging: 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.

View all 13

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.