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SAMUEL MARKERT
NPI 1750947263
Nurse Practitioner in Appleton, WI

Active since May 10, 2019PECOS EnrolledAccepts Medicare Assignment
88.97/100
CMS Quality Rating
1506 S ONEIDA ST, APPLETON, WI 54915(920) 730-6700 Get Directions Write a Review

NPPES record last updated: May 10, 2019. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Samuel Markert NPPES

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

SAMUEL MARKERT (NPI 1750947263) is an individual nurse practitioner in Appleton, Wisconsin, licensed in Wisconsin (9070-33) and active in the NPI registry since May 2019. He is enrolled in Medicare PECOS, is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc., and is a graduate of Other (2018).

NPPES Registry Identity

NPI1750947263
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSAMUEL MARKERT
Location Address1506 S ONEIDA STAppleton, WI 54915-1305
Mailing Address1506 S Oneida StAppleton, WI 54915-1305 · (920) 730-6700
Phone(920) 730-6700
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 10, 2019
✔ NPI 1750947263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 9070-33
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.
1506 S ONEIDA ST, Appleton, WI 54915
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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, HealthPartners and more.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 Markert 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 ID9032446463
PECOS Enrollment IDI20190808000749
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.

Hospital Affiliations CMS Care Compare 2

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

Aspirus Rhinelander Hospital

Acute Care Hospitals · Rhinelander, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520019
Location2251 North Shore DrRhinelander, WI 54501 · Oneida County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54915 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.

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.

88.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality85.89
Promoting Interoperability100
Improvement Activities40
Cost69.92

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.

FOX VALLEY NEONATOLOGY SC
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
ANNA QUELLA RD, LD, MS
Dietitian, Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 831-1602
ASCENSION NE WISCONSIN, INC
Skilled Nursing Facility
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 720-1464
KAYLA MARIE LETTERMAN DPT
Physical Therapist
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2681
BESSANT A PARKER MD
Hospitalist
1506 S ONEIDA ST, HOSPITAL SERVICE DEPARTMENT
APPLETON, WI 54915
Calumet County (920) 738-2000
DR. JOSEPH DOMINIC CHABOT D.O.
Neurological Surgery
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000
PANKAJ JAIN
Pediatrics (Neonatal-Perinatal Medicine)
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 730-7670
SAMUEL A. SOUTHARD CRNA
Nurse Anesthetist, Certified Registered
1506 S ONEIDA ST
APPLETON, WI 54915
Calumet County (920) 738-2000

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 Markert's NPI number?

The NPI number for Samuel Markert is 1750947263. It was assigned to this individual provider in the NPPES registry on May 10, 2019.

Where is Samuel Markert located?

Samuel Markert practices at 1506 S Oneida St, Appleton, WI 54915. The listed phone number is (920) 730-6700.

What is Samuel Markert's specialty?

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

Is Samuel Markert enrolled in Medicare?

Yes. Samuel Markert 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 Markert accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, HealthPartners and Security Health Plan list Samuel Markert 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 Markert affiliated with any hospitals?

According to CMS data, Samuel Markert is affiliated with Aspirus Stevens Point Hospital & Clinics, Inc. and Aspirus Rhinelander Hospital.

When was this NPI record last updated?

The NPPES record for Samuel Markert was last updated on May 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.