NPIMap

Individual provider Active NPI

Samuel J Docksey, DO

  • Emergency Medicine Physician
  • Waupaca, WI
National Provider Identifier
1578091500
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
81356 Issued in WI
Practice address
800 Riverside Dr
Waupaca, WI 54981-1943
Phone
(715) 258-1041
Fax
(715) 258-1042
NPI assigned
Jun 4, 2017
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 81356 WI Primary
Emergency Medicine Physician 207P00000X 05-43010 KS

Addresses

Primary practice location

800 Riverside Dr
Waupaca, WI 54981-1943

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070
Phone (920) 830-5900

Other practice location 1

650 Huebner Rd
Fort Riley, KS 66442-4030
Phone (706) 721-7005

Other practice location 2

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-7229

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address sdocksey398728@direct.myadvocateaurora.org Direct
FHIR URL https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240509003057 WI Practitioner - Emergency Medicine 6901170182 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Midwestern University, Chicago College of Osteopathic Med, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ermed, SCGroup PAC ID 5092608554, 45 clinicians

Practice addresses (Care Compare)

2900 W Oklahoma Ave
Milwaukee, WI 53215-4330
Phone (414) 649-6588

755 W Johnson St
Fond Du Lac, WI 54935-2089
Phone (920) 913-4400

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ermed, SC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Thedacare Medical Center - Wild Rose, Inc CurrentSince Jan 20, 2026 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Thedacare Regional Medical Center - Appleton Inc. CurrentSince Mar 1, 2026 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Aurora Medical Group, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Thedacare Medical Center - New London, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Thedacare Medical Center - Shawano, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Milwaukee Radiologists LTD Current Accepting new patients
Thedacare Medical Center - New London, Inc CurrentSince Dec 3, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. CurrentSince Jan 20, 2026 Accepting new patients
Thedacare Medical Center - Berlin, Inc. CurrentSince Dec 3, 2025 Accepting new patients
Thedacare Medical Center - Waupaca, Inc. Emergency Medicine CurrentSince Dec 3, 2025 Accepting new patients
Richard S Veiga MD SC Current Accepting new patients
Thedacare Regional Medical Center - Appleton, Inc. CurrentSince Mar 1, 2026 Accepting new patients

Locations

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

5900 S Lake Dr
Cudahy, WI 53110
Phone (414) 489-4055

755 W Johnson St
Fond du Lac, WI 54935
Phone (920) 731-4101

3003 University Dr
Marinette, WI 54143
Phone (715) 732-8200

1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056

2900 W Oklahoma Ave
Milwaukee, WI 53215
Phone (414) 385-2590

3 Neenah Ctr
Neenah, WI 54956
Phone (920) 454-4229

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

250 W 6th Ave
Oshkosh, WI 54902
Phone (920) 237-5000

855 N Westhaven Dr
Oshkosh, WI 54904
Phone (920) 451-5643

100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161

800 Riverside Dr
Waupaca, WI 54981
Phone (715) 258-1000

601 Grove Ave
Wild Rose, WI 54984
Phone (888) 287-4488

Interoperability endpoints

  • Direct secure messaging: sdocksey398728@direct.myadvocateaurora.org

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1496534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1578091500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070",
            "telephone_number": "920-830-5900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 RIVERSIDE DR",
            "city": "WAUPACA",
            "state": "WI",
            "postal_code": "549811943",
            "telephone_number": "715-258-1041",
            "fax_number": "715-258-1042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 Huebner Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Riley",
            "state": "KS",
            "postal_code": "664424030",
            "country_code": "US",
            "telephone_number": "706-721-7005",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 W Oklahoma Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532154330",
            "country_code": "US",
            "telephone_number": "414-649-7229",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOCKSEY",
        "first_name": "SAMUEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-04",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WI",
            "license": "81356",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-43010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sdocksey398728@direct.myadvocateaurora.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "2900 W Oklahoma Ave",
            "city": "Milwaukee",
            "state": "WI",
            "country_code": "US",
            "postal_code": "532154330",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waupaca, WI

Sources for this page

Verify at the official NPI Registry.