SAMANTHA J FOX APNP
NPI 1225457526
Nurse Practitioner in Appleton, WI

Q: What is Samantha Fox's NPI number?

The NPI number for Samantha Fox is 1225457526. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Q: What is Samantha Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Fox was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 15, 2014PECOS EnrolledAccepts Medicare Assignment

1818 N MEADE ST, STE 347, APPLETON, WI 54911(920) 731-8900(920) 738-5369 Get Directions Write a Review

NPPES record last updated: September 11, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Samantha J Fox Apnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA J FOX APNP (NPI 1225457526) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (5755) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2013).

NPPES Registry Identity

NPI1225457526

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA J FOXCredential: APNP

Location Address1818 N MEADE ST, STE 347Appleton, WI 54911-3454

Mailing Address3 Neenah CtrNeenah, WI 54956-3070 · (920) 735-7645

Phone(920) 731-8900

Fax(920) 738-5369

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateApril 15, 2014

Last NPPES UpdateSeptember 11, 2023

NPPES CertifiedSeptember 11, 2023

✔ NPI 1225457526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WI · 5755

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 5755 (WI)

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 5755 (WI)

1818 N MEADE ST, Appleton, WI 54911

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare) and more.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

Samantha J Fox Apnp 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.

PECOS PAC ID3173746047

PECOS Enrollment IDI20140521001749

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Samantha Fox reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Thedacare, Incorporated

3.8 mi

Counselor

1095 MIDWAY RD
Menasha, WI 54952

Reassigned Medicare billing, Wisconsin enrollment
988 clinicians in this Medicare group

NPI 1306959515 (920) 720-2300

Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc.

40 mi

Clinic/Center

205 S MAIN ST
Iola, WI 54945

Reassigned Medicare billing, Wisconsin enrollment
935 clinicians in this Medicare group

NPI 1578232849 (715) 445-4801

Aspirus Wausau Hospital Inc

55 mi

Clinic/Center

1660 SUE ALAN DR
Wittenberg, WI 54499

Reassigned Medicare billing, Wisconsin enrollment
633 clinicians in this Medicare group

NPI 1467782821 (715) 253-2110

Aspirus Stevens Point Hospital & Clinics, Inc.

58 mi

General Practice

3500 HOOVER RD
Stevens Point, WI 54481

Reassigned Medicare billing, Wisconsin enrollment
619 clinicians in this Medicare group

NPI 1184082745 (715) 342-7900

Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin

60 mi

Rural Health

375 MAIN ST
Birnamwood, WI 54414

Reassigned Medicare billing, Wisconsin enrollment
Also billed through NPI 1639187412 (Wisconsin)
321 clinicians in this Medicare group

NPI 1063574184 (715) 449-2539

Aspirus Riverview Hospital & Clinics, Inc.

70 mi

Rural Health

2031 PEACH ST
Wisconsin Rapids, WI 54494

Reassigned Medicare billing, Wisconsin enrollment
397 clinicians in this Medicare group

NPI 1184176059 (715) 423-0122

Aspirus Merrill Hospital & Clinics, Inc.

89 mi

Critical Access

601 S CENTER AVE
Merrill, WI 54452

Reassigned Medicare billing, Wisconsin enrollment
351 clinicians in this Medicare group

NPI 1124084678 (715) 536-5511

Aspirus Medford Hospital & Clinics, Inc.

98 mi

Rural Health

729 PINE ST
Athens, WI 54411

Reassigned Medicare billing, Wisconsin enrollment
376 clinicians in this Medicare group

NPI 1760912919 (715) 748-8100

Aspirus Stanley Hospital & Clinics, Inc.

133 mi

Critical Access

1120 PINE ST
Stanley, WI 54768

Reassigned Medicare billing, Wisconsin enrollment
168 clinicians in this Medicare group

NPI 1053391730 (715) 644-5571

Signify Health Medical Associates, PLLC

906 mi

General Practice

4055 VALLEY VIEW LN STE 700
Dallas, TX 75244

Reassigned Medicare billing, Wisconsin enrollment
303 clinicians in this Medicare group

NPI 1750845863 (972) 715-3800

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 5

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.

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

112 services105 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

100 services100 patients

Routine electrocardiogram (ecg) using at least 12 leads with tracing 93005

An Electrocardiogram (ECG) is a simple, painless test that records the heart's electrical activity. Using 12 leads attached to your skin, it generates a tracing of your heart rhythm. It helps detect any heart problems by showing the timing and strength of electrical signals passing through each part of your heart.

68 services68 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

38 services26 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

37 services37 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Aspirus Stevens Point Hospital & Clinics, Inc.

Acute Care Hospitals · Stevens Point, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520002

Location900 Illinois AveStevens Point, WI 54481 · Portage County

Emergency services Birthing friendly

Thedacare Regional Med Ctr - Neenah

Acute Care Hospitals · Neenah, WI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520045

Location130 2nd StNeenah, WI 54956 · Winnebago County

Emergency services Birthing friendly

Thedacare Regional Medical Center - Appleton Inc

Acute Care Hospitals · Appleton, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number520160

Location1818 N Meade StAppleton, WI 54911 · Outagamie County

Emergency services Birthing friendly

Langlade Hospital

Critical Access Hospitals · Antigo, WI

OwnershipVoluntary non-profit - Church

CMS Certification Number521350

Location112 E Fifth AveAntigo, WI 54409 · Langlade County

Emergency services

Berlin Memorial Hospital

Critical Access Hospitals · Berlin, WI

OwnershipVoluntary non-profit - Private

CMS Certification Number521355

Location225 Memorial DriveBerlin, WI 54923 · Green Lake County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54911 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$82.92 typical visit price

range $53.90 – $163.24

Typical copayment $20.73 (range $13.47 – $40.81)

Most-billed visit code 99203

Established Patient

$95.41 typical visit price

range $17.40 – $133.76

Typical copayment $23.85 (range $4.35 – $33.44)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. THERESA ANN HAGMAN PTA

Physical Therapy Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

HANNA ROSE SIPPEL PA

Physician Assistant

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

ANN M HEFTER AGACNP-BC, MSN, BSN

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

DESSIA J LAXTON APNP

Nurse Practitioner

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-8900

MISS AMBER LYNN NEVALA CST

Specialist/Technologist, Other (Surgical Assistant)

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (906) 280-5495

DAVID MICHAEL DENELL MPT LAT/C

Physical Therapist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

PHILIP ANTHONY VOGT MD

Surgery

1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911

Outagamie County (920) 731-8289

SYED TAIMUR ALI M.D.

Hospitalist

1818 N MEADE ST
APPLETON, WI 54911

Outagamie County (920) 731-4101

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 Samantha Fox's NPI number?

The NPI number for Samantha Fox is 1225457526. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Samantha Fox located?

Samantha Fox practices at 1818 N Meade St Ste 347, Appleton, WI 54911. The listed phone number is (920) 731-8900.

What is Samantha Fox's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Fox enrolled in Medicare?

Yes. Samantha Fox 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 Samantha Fox's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Fox reassigns Medicare benefits to 10 organizations: Thedacare, Incorporated (Menasha, WI), Aspirus Rhinelander & Tomahawk Hospitals & Clinics, Inc. (Iola, WI), Aspirus Wausau Hospital Inc (Wittenberg, WI), Aspirus Stevens Point Hospital & Clinics, Inc. (Stevens Point, WI), Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin (Birnamwood, WI) and 5 more organizations, listed in the Medicare section above. 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 Samantha Fox's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Fox accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Network Health and Security Health Plan list Samantha Fox 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 Samantha Fox affiliated with any hospitals?

According to CMS data, Samantha Fox is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., Thedacare Regional Med Ctr - Neenah, Thedacare Regional Medical Center - Appleton Inc, Langlade Hospital and Berlin Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Fox was last updated on September 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.