SAMUEL ENGELSGJERD
NPI 1033679626
Urology in Waukesha, WI
About Samuel Engelsgjerd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL ENGELSGJERD (NPI 1033679626) is an individual urology provider in Waukesha, Wisconsin, licensed in Wisconsin (83235-20) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Waukesha Memorial Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Engelsgjerd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Samuel Engelsgjerd reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waukesha, WI 53188
- Reassigned Medicare billing, Wisconsin enrollment
- 17 clinicians in this Medicare group
Watertown, WI 53098
- Reassigned Medicare billing, Wisconsin enrollment
- 215 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 4
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Waukesha Memorial Hospital
Acute Care Hospitals · Waukesha, WIOconomowoc Memorial Hospital
Acute Care Hospitals · Oconomowoc, WIWatertown Memorial Hospital
Acute Care Hospitals · Watertown, WIAscension SE Wisconsin Hospital
Acute Care Hospitals · Milwaukee, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53188 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAUKESHA, WI 53188
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samuel Engelsgjerd's NPI number?
The NPI number for Samuel Engelsgjerd is 1033679626. It was assigned to this individual provider in the NPPES registry on March 21, 2019.
Where is Samuel Engelsgjerd located?
Samuel Engelsgjerd practices at 1111 Delafield St Ste 207, Waukesha, WI 53188. The listed phone number is (262) 446-3593.
What is Samuel Engelsgjerd's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Samuel Engelsgjerd enrolled in Medicare?
Yes. Samuel Engelsgjerd is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samuel Engelsgjerd's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Engelsgjerd reassigns Medicare benefits to 2 organizations: Urology Associates Ltd Sc (Waukesha, WI) and Watertown Physician Practices LLC (Watertown, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samuel Engelsgjerd's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Engelsgjerd accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Group Health Cooperative-SCW and MercyCare Health Plans and 4 other insurers list Samuel Engelsgjerd as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samuel Engelsgjerd affiliated with any hospitals?
According to CMS data, Samuel Engelsgjerd is affiliated with Waukesha Memorial Hospital, Oconomowoc Memorial Hospital, Watertown Memorial Hospital and Ascension SE Wisconsin Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Engelsgjerd was last updated on August 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samuel Engelsgjerd · NPI 1033679626
Urology physician in Waukesha, Wisconsin. Individual provider, active in the CMS NPPES registry since March 21, 2019.
## Identity
- **NPI:** 1033679626 (Entity type: Individual)
- **Enumerated:** March 21, 2019
- **Primary specialty:** Urology · taxonomy 208800000X
- **State license:** 83235-20 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1111 DELAFIELD ST STE 207, Waukesha, WI 53188-3403
- **Phone:** (262) 446-3593
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Urology Associates Ltd Sc (NPI 1316035637, Waukesha, WI); Watertown Physician Practices LLC (NPI 1225412265, Watertown, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** August 12, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1033679626) · Data from the CMS NPPES public registry.