Individual provider Active NPI

Maxwell J Machurick

  • Pulmonary Disease Physician
  • Appleton, WI
National Provider Identifier
1841752680
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
75138-20 Issued in WI
Practice address
2500 E Capitol Dr Ste 2600
Appleton, WI 54911-8735
Phone
(920) 734-9600
Fax
(920) 734-4300
NPI assigned
Apr 2, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 75138-20 WI Primary

Addresses

Primary practice location

2500 E Capitol Dr Ste 2600
Appleton, WI 54911-8735

Mailing address

2500 E Capitol Dr Ste 2600
Appleton, WI 54911-8735
Phone (920) 734-9600

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
I20260521000983 WI Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 6305170952 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
University of Wisconsin School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Valley Pulmonary Medicine SCGroup PAC ID 6002707320, 12 clinicians
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

Practice addresses (Care Compare)

2500 E Capitol Dr
Suite 2600
Appleton, WI 54911-8735
Phone (920) 358-1139

430 E Division St
Fond Du Lac, WI 54935-4560
Phone (920) 929-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
75138WIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fox Valley Pulmonary Medicine, S.C. Current Accepting new patients
Fox Valley Pulmonary Medicine, LLC Current Accepting new patients

Locations

2500 E Capitol Dr
Ste 2600
Appleton, WI 54911
Phone (920) 358-1139

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1554163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1841752680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR STE 2600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118735",
            "telephone_number": "920-734-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 E CAPITOL DR STE 2600",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549118735",
            "telephone_number": "920-734-9600",
            "fax_number": "920-734-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACHURICK",
        "first_name": "MAXWELL",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-02",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "WI",
            "license": "75138-20",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

Verify at the official NPI Registry.