Individual provider Active NPI

Sandra M Arce-Garzon, M.D.

  • Pediatrics Physician
  • Milwaukee, WI
National Provider Identifier
1669477394
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47372 Issued in WI
Practice address
4220 S 27TH St Ste 200
Milwaukee, WI 53221-1855
Phone
(414) 282-5810
Fax
(414) 282-5468
NPI assigned
Jun 17, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 47372 WI Primary

Addresses

Primary practice location

4220 S 27TH St Ste 200
Milwaukee, WI 53221-1855

Mailing address

4220 S 27TH St. Ste 200
Milwaukee, WI 53221-1855
Phone (414) 282-5810

Other identifiers 6

IdentifierTypeStateIssuer
2277365OtherWICCN
34595700MedicaidWI
7689455OtherWICIGNA
7281612OtherWIAETNA
2276529OtherWIFIRST HEALTH CARE
1200986OtherWICOMPCARE/IPN

Other names 1

  • Sandra M Arce-Betancourt Former name

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
I20050112000401 WI Practitioner - Pediatric Medicine 6709834161 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47372WIMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. Current Accepting new patients
Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Aspirus Stevens Point Hospital & Clinics, Inc. CurrentSince Jun 12, 2025 Accepting new patients
Best Care Pediatrics LLC Pediatrics CurrentSince Oct 1, 2022 Accepting new patients

Locations

29980 Network Pl
Chicago, IL 60673

400 W Glen St
Crandon, WI 54520
Phone (715) 478-3318

4220 S 27th St
Ste 200
Milwaukee, WI 53221
Phone (414) 282-5810

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

2251 N Shore Dr
Ste 100
Rhinelander, WI 54501
Phone (715) 361-2074

209 Prentice St N
Stevens Point, WI 54481
Phone (715) 344-4611

824 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

900 Illinois Ave
Stevens Point, WI 54481
Phone (715) 342-7500

401 W Mohawk Dr
Ste 100
Tomahawk, WI 54487
Phone (715) 453-7700

190 Grand Seasons Dr
Waupaca, WI 54981
Phone (715) 258-3401

Interoperability endpoints

  • Direct secure messaging: sarcegarzon378023@direct.aspirus.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1118966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1669477394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4220 S 27TH ST. STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211855",
            "telephone_number": "414-282-5810",
            "fax_number": "414-282-5468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4220 S 27TH ST STE 200",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532211855",
            "telephone_number": "414-282-5810",
            "fax_number": "414-282-5468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCE-GARZON",
        "first_name": "SANDRA",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-06-17",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "47372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CCN",
            "identifier": "2277365",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34595700",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7689455",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7281612",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH CARE",
            "identifier": "2276529",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPCARE/IPN",
            "identifier": "1200986",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "ARCE-BETANCOURT",
            "middle_name": "M",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Milwaukee, WI

Sources for this page

Verify at the official NPI Registry.