Individual provider Active NPI

Samantha Lee Klebe, DO

  • Hospitalist Physician
  • Weston, WI
National Provider Identifier
1649538844
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
74829 Issued in WI
Practice address
3400 Ministry Pkwy
Weston, WI 54476-5220
Phone
(715) 393-1000
Fax
(715) 393-1469
NPI assigned
Apr 25, 2012
Last updated
Dec 20, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 74829 WI
Internal Medicine Physician 207R00000X OS017649 PA
Hospitalist Physician 208M00000X 74829 WI Primary

Addresses

Primary practice location

3400 Ministry Pkwy
Weston, WI 54476-5220

Mailing address

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Other practice location 1

1001 S George St
3rd Floor
York, PA 17403-3676
Phone (717) 851-4005

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

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
I20210628001567 WI Practitioner - HospitalistPractitioner - Internal Medicine 5698089639 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, 1,195 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

3400 Ministry Pkwy
Weston, WI 54476-5220
Phone (715) 393-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCHS Hospitals Inc Internal Medicine Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 12, 2021 Accepting new patients
MCHS Hospitals Inc Internal Medicine CurrentSince Jul 12, 2021 Accepting new patients
Marshfield Clinic Inc Internal Medicine CurrentSince Jul 12, 2021 Accepting new patients
Memorial Hospital Inc PastSince Jan 1, 2025 Accepting new patients
Flambeau Hospital Inc PastSince Sep 8, 2023 Accepting new patients
Dickinson County Healthcare System Internal Medicine PastSince Apr 4, 2023 Accepting new patients

Locations

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

3400 Ministry Pkwy
Weston, WI 54476
Phone (715) 393-1000

Interoperability endpoints

  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: samantha.klebe@marshfieldclinichealthsystem.cernerdirect.com
  • Direct secure messaging: sklebe13997@wellspan.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 43

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Marshfield Medical Center - Rice LakeRice Lake, WI, CCN 520011 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Beaver DamBeaver Dam, WI, CCN 520076 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Park FallsPark Falls, WI, CCN 521325 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Park Falls Swing BedPark Falls, WI, CCN 52Z325 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson (Swing Bed)Iron Mountain, MI, CCN 23U055 Hospital Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Medical Center - NeillsvilleNeillsville, WI, CCN 521323 Hospital Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Medical Center - NeillsvilleNeillsville, WI, CCN 52Z323 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center Rehab UnitMarshfield, WI, CCN 52T037 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical CenterMarshfield, WI, CCN 520037 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 2, 2025
Marshfield Medical Center - Eau ClaireEau Claire, WI, CCN 520210 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - LadysmithLadysmith, WI, CCN 521328 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - MinocquaMinocqua, WI, CCN 520212 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - WestonWeston, WI, CCN 520202 Hospital Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Medical Center - DickinsonIron Mountain, MI, CCN 231342 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - DickinsonIron Mountain, MI, CCN 23Z342 Hospital Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Hillside Manor Nursing HomeBeaver Dam, WI, CCN 525447 Skilled nursing facility Corporate Officer
Corporate Director
Adp of the SNF
Jan 1, 2025
Sep 8, 2023
Jan 1, 2025
Hillside Home Care HHABeaver Dam, WI, CCN 527191 Home health agency Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Rice Lake Home HealthRice Lake, WI, CCN 527158 Home health agency Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Home HealthIron Mountain, MI, CCN 237292 Home health agency Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Hillside HospiceBeaver Dam, WI, CCN 521518 Hospice Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Rice Lake HospiceRice Lake, WI, CCN 521558 Hospice Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson HospiceIron Mountain, MI, CCN 231728 Hospice Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Florence CenterFlorence, WI, CCN 523991 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Family MedicineIron Mountain, MI, CCN 238559 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Primary CareIron Mountain, MI, CCN 238634 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Norway Family and Geriatric CtrNorway, MI, CCN 238643 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Neillsville ClinicNeillsville, WI, CCN 523980 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Internal Medicine and NephrologyIron Mountain, MI, CCN 238656 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Norway CenterNorway, MI, CCN 238654 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Dickinson Obstetrics & GynecologyIron Mountain, MI, CCN 238690 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Medical Center - Ladysmith ClinicLadysmith, WI, CCN 528567 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Cornell CenterCornell, WI, CCN 528607 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Minocqua ClinicMinocqua, WI, CCN 528615 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Stratford CenterStratford, WI, CCN 528611 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025
Marshfield Clinic Colby/Abbotsford CenterColby, WI, CCN 528612 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Greenwood CenterGreenwood, WI, CCN 528613 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Bloomer CenterBloomer, WI, CCN 528647 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Eagle River CenterEagle River, WI, CCN 528648 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Hayward CenterHayward, WI, CCN 528650 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Cumberland CenterCumberland, WI, CCN 528652 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Clinic Phillips CenterPhillips, WI, CCN 528619 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Rice Lake ClinicRice Lake, WI, CCN 528618 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 8, 2023
Jan 1, 2025
Marshfield Medical Center - Park Falls ClinicPark Falls, WI, CCN 528623 Rural health clinic Corporate Director
W-2 Managing Employee
Sep 9, 2023
Jan 1, 2025

Owned or controlled facilities with NPI records 45

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 45

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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": "1335312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1649538844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-393-1000",
            "fax_number": "715-393-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 MINISTRY PKWY",
            "city": "WESTON",
            "state": "WI",
            "postal_code": "544765220",
            "telephone_number": "715-393-1000",
            "fax_number": "715-393-1469"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 S George St",
            "address_2": "3rd Floor",
            "address_purpose": "LOCATION",
            "city": "York",
            "state": "PA",
            "postal_code": "174033676",
            "country_code": "US",
            "telephone_number": "717-851-4005",
            "fax_number": "717-812-2495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KLEBE",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-25",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "74829",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OS017649",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "WI",
            "license": "74829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "3400 Ministry Pkwy",
            "city": "Weston",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544765220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Weston, WI

Sources for this page

Verify at the official NPI Registry.