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ADAM MARGOLIS MSN, APNP, L.AC.
NPI 1891855904
Nurse Practitioner in Milwaukee, WI

Active since December 11, 2006PECOS Enrolled
3176 N 51ST BLVD, MILWAUKEE, WI 53216(414) 871-9111 Get Directions Write a Review

NPPES record last updated: February 6, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Adam Margolis Msn, Apnp, L.ac. NPPES

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

ADAM MARGOLIS MSN, APNP, L.AC. (NPI 1891855904) is an individual nurse practitioner in Milwaukee, Wisconsin, licensed in Wisconsin (4232-033) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1891855904
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameADAM MARGOLISCredential: MSN, APNP, L.AC.
Location Address3176 N 51ST BLVDMilwaukee, WI 53216-3234
Mailing Address3176 N 51st BlvdMilwaukee, WI 53216-3234 · (414) 871-9111
Phone(414) 871-9111
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateDecember 11, 2006
Last NPPES UpdateFebruary 6, 2017
✔ NPI 1891855904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in WI · 4232-033
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 ListedAcupuncturistTaxonomy 171100000X · License 303 (WI)
3176 N 51ST BLVD, Milwaukee, WI 53216
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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, CareSource (Common Ground Healthcare), UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Adam Margolis Msn, Apnp, L.ac. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436312295
PECOS Enrollment IDI20220315000887
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

2

Medicare enrollment records show Adam Margolis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Psychiatric Consultants & Therapists, Sc
4.4 mi
Psychologist
229 E WISCONSIN AVE, SUITE 600
Milwaukee, WI 53202
  • Reassigned Medicare billing, Wisconsin enrollment
  • 20 clinicians in this Medicare group
NPI 1700818119 (414) 224-3737
Empowerment Therapy Services Of Maryland, LLC
639 mi
Community/Behavioral Health
3655A OLD COURT RD
Baltimore, MD 21208
  • Reassigned Medicare billing, Maryland enrollment
  • 27 clinicians in this Medicare group
NPI 1942884671 (410) 404-0786

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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
47 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53216 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.

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 Adam Margolis's NPI number?

The NPI number for Adam Margolis is 1891855904. It was assigned to this individual provider in the NPPES registry on December 11, 2006.

Where is Adam Margolis located?

Adam Margolis practices at 3176 N 51st Blvd, Milwaukee, WI 53216. The listed phone number is (414) 871-9111.

What is Adam Margolis's specialty?

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

Is Adam Margolis enrolled in Medicare?

Yes. Adam Margolis is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Adam Margolis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Adam Margolis reassigns Medicare benefits to 2 organizations: Psychiatric Consultants & Therapists, Sc (Milwaukee, WI) and Empowerment Therapy Services Of Maryland, LLC (Baltimore, MD). 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 Adam Margolis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Adam Margolis accept?

Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare) and UnitedHealthcare list Adam Margolis 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 Adam Margolis was last updated on February 6, 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.