KEEGAN WADE SAMMONS
NPI 1497498430
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 18, 2022PECOS Enrolled
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., 8701 WATERTOWN PLANK RD, MILWAUKEE, WI 53226(414) 955-4575 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Keegan Wade Sammons NPPES

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

KEEGAN WADE SAMMONS (NPI 1497498430) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497498430
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEEGAN WADE SAMMONS
Location AddressMEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., 8701 WATERTOWN PLANK RDMilwaukee, WI 53226
Mailing Address171 Gazette Ave Apt 4Lexington, KY 40508-3271 · (606) 356-8587
Sole ProprietorNo
Enumeration DateApril 18, 2022
NPPES CertifiedApril 5, 2022
✔ NPI 1497498430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., Milwaukee, WI 53226

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keegan Wade Sammons is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES

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

Student in an Organized Health Care Education/Training Program
MEDICAL COLLEGE OF WISCONSIN AFFILIATED HOSPITALS, INC., 8701 WATERTOWN PLANK ROAD
MILWAUKEE, WI 53226

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 Keegan Sammons's NPI number?

The NPI number for Keegan Sammons is 1497498430. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Keegan Sammons located?

Keegan Sammons practices at Medical College Of Wisconsin Affiliated Hospitals, Inc. 8701 Watertown Plank Rd, Milwaukee, WI 53226. The listed phone number is (414) 955-4575.

What is Keegan Sammons's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Keegan Sammons enrolled in Medicare?

Yes. Keegan Sammons is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keegan Sammons was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.