DR. SAMANTHA SUE KAPPHAHN D.O.
NPI 1548420904
Internal Medicine - Cardiovascular Disease in Appleton, WI

Active since June 10, 2008PECOS EnrolledAccepts Medicare Assignment
1818 N MEADE ST, APPLETON, WI 54911(920) 731-8900 Get Directions Write a Review

NPPES record last updated: June 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 4, 2021, Oct 14, 2020 (2 updates tracked since 2020).

About Dr. Samantha Sue Kapphahn D.o. NPPES

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

DR. SAMANTHA SUE KAPPHAHN D.O. (NPI 1548420904) is an individual cardiovascular disease provider in Appleton, Wisconsin, licensed in Wisconsin (73723) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Osf St Francis Hospital And Medical Group, and maintains a secondary practice location in Fargo.

NPPES Registry Identity

NPI1548420904
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SAMANTHA SUE KAPPHAHNCredential: D.O.
Location Address1818 N MEADE STAppleton, WI 54911-3454
Mailing Address1818 N Meade StAppleton, WI 54911-3454 · (920) 731-8900 · Fax (920) 225-1414
Sole ProprietorYes
Medical School CMSOtherGraduated 2005
Enumeration DateJune 10, 2008
Last NPPES UpdateJune 4, 20212 updates tracked since enumeration
NPPES CertifiedJune 4, 2021
✔ NPI 1548420904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in WI · 73723
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 245350 (NY), 12901 (ND)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 12901 (ND)
1818 N MEADE ST, Appleton, WI 54911

Secondary Practice Location 1

Location 13000 32nd Ave SFargo, ND 58103-6132 · Phone (701) 364-8000 · Fax (701) 364-8078

Other Identifiers 1

Medicaid18216ND

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

Dr. Samantha Sue Kapphahn D.o. 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 ID345483384
PECOS Enrollment IDI20200922002754, I20231106001699
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

5

Medicare enrollment records show Samantha Kapphahn reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
555 QUALITY COURT
Wrightstown, WI 54180
  • Reassigned Medicare billing, Wisconsin and Michigan enrollments
  • Also billed through NPI 1114398849 (Michigan)
  • 875 clinicians in this Medicare group
Multi-Specialty
2300 WESTERN AVE
Manitowoc, WI 54220
  • Reassigned Medicare billing, Wisconsin enrollment
  • 350 clinicians in this Medicare group
Rural Health
107 E HIGHLAND DR
Oconto Falls, WI 54154
  • Reassigned Medicare billing, Wisconsin enrollment
  • 573 clinicians in this Medicare group
Family Medicine
3409 LUDINGTON ST
Escanaba, MI 49829
  • Reassigned Medicare billing, Michigan enrollment
  • 118 clinicians in this Medicare group
Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Wisconsin enrollment
  • 25 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 11

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
194 services194 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
120 services108 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
73 services73 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
37 services37 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
36 services36 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.
36 services30 patients

Hospital Affiliations CMS Care Compare 5

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

Osf St Francis Hospital And Medical Group

Critical Access Hospitals · Escanaba, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number231337
Location3401 Ludington StEscanaba, MI 49829 · Delta County
Emergency services Birthing friendly

Bellin Memorial Hospital

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520049
Location744 S Webster AveGreen Bay, WI 54305 · Brown County
Emergency services Birthing friendly

Aurora Baycare Medical Ctr

Acute Care Hospitals · Green Bay, WI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number520193
Location2845 Greenbrier RdGreen Bay, WI 54311 · Brown County
Emergency services Birthing friendly

Bellin Health Oconto Hospital

Critical Access Hospitals · Oconto, WI
OwnershipVoluntary non-profit - Private
CMS Certification Number521356
Location820 Arbutus AveOconto, WI 54153 · Oconto County
Emergency services

Door County Medical Center

Critical Access Hospitals · Sturgeon Bay, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number521358
Location323 South 18th AvenueSturgeon Bay, WI 54235 · Door County
Emergency services

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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
Most-billed visit code 99213
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.

Physical Therapy Assistant
1818 N MEADE ST
APPLETON, WI 54911
Physician Assistant
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Nurse Practitioner
1818 N MEADE ST
APPLETON, WI 54911
Specialist/Technologist, Other (Surgical Assistant)
1818 N MEADE ST
APPLETON, WI 54911
Physical Therapist
1818 N MEADE ST
APPLETON, WI 54911
Surgery
1818 N MEADE ST, STE 240- WEST
APPLETON, WI 54911
Hospitalist
1818 N MEADE ST
APPLETON, WI 54911

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 Kapphahn's NPI number?

The NPI number for Samantha Kapphahn is 1548420904. It was assigned to this individual provider in the NPPES registry on June 10, 2008.

Where is Samantha Kapphahn located?

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

What is Samantha Kapphahn's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Samantha Kapphahn enrolled in Medicare?

Yes. Samantha Kapphahn 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 Kapphahn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kapphahn reassigns Medicare benefits to 5 organizations: Bellin Memorial Hospital Inc (Wrightstown, WI), Froedtert Manitowoc Medical Group, LLC (Manitowoc, WI), Oconto Hospital & Medical Center, Inc. (Oconto Falls, WI), St. Francis Hospital (Escanaba, MI) and Osf Multi-Specialty Group (Peoria, IL). 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 Kapphahn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Kapphahn accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Blue Cross Blue Shield of North Dakota, CareSource (Common Ground Healthcare) and HealthPartners list Samantha Kapphahn 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 Kapphahn affiliated with any hospitals?

According to CMS data, Samantha Kapphahn is affiliated with Osf St Francis Hospital And Medical Group, Bellin Memorial Hospital, Aurora Baycare Medical Ctr, Bellin Health Oconto Hospital and Door County Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Kapphahn was last updated on June 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.