SAMUEL SPENCER PAC
NPI 1396018875
Physician Assistant in Milwaukee, WI
About Samuel Spencer Pac NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL SPENCER PAC (NPI 1396018875) is an individual physician assistant in Milwaukee, Wisconsin, licensed in Wisconsin (289123) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samuel Spencer Pac 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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.
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 Spencer's NPI number?
The NPI number for Samuel Spencer is 1396018875. It was assigned to this individual provider in the NPPES registry on February 15, 2012.
Where is Samuel Spencer located?
Samuel Spencer practices at 10625 W North Ave Suite 102, Milwaukee, WI 53226. The listed phone number is (414) 877-5350.
What is Samuel Spencer's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Samuel Spencer enrolled in Medicare?
Yes. Samuel Spencer 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.
What insurance does Samuel Spencer accept?
Health plans from CareSource (Common Ground Healthcare) and Medica list Samuel Spencer 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.
When was this NPI record last updated?
The NPPES record for Samuel Spencer was last updated on April 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 Spencer, PAC · NPI 1396018875
Physician Assistant physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since February 15, 2012.
## Identity
- **NPI:** 1396018875 (Entity type: Individual)
- **Enumerated:** February 15, 2012
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** 289123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 10625 W NORTH AVE, SUITE 102, Milwaukee, WI 53226-2315
- **Phone:** (414) 877-5350 · **Fax:** (414) 877-5360
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** April 21, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1396018875) · Data from the CMS NPPES public registry.