BRANDON PHELPS
NPI 1902224116
Family Medicine in Sheboygan, WI
About Brandon Phelps NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BRANDON PHELPS (NPI 1902224116) is an individual family medicine provider in Sheboygan, Wisconsin, licensed in Wisconsin (64978-21) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and maintains a secondary practice location in Milwaukee.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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
Brandon Phelps 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.
Medicare Billing Reassignment
Medicare enrollment records show Brandon Phelps reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Marengo, IA 52301
- Reassigned Medicare billing, Iowa enrollment
- Also billed through NPI 1043375132 (Iowa)
- 71 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 4
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Lukes Hospital
Acute Care Hospitals · Cedar Rapids, IACompass Memorial Healthcare
Critical Access Hospitals · Marengo, IAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53081 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 12
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SHEBOYGAN, WI 53081
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 Brandon Phelps's NPI number?
The NPI number for Brandon Phelps is 1902224116. It was assigned to this individual provider in the NPPES registry on April 3, 2014.
Where is Brandon Phelps located?
Brandon Phelps practices at 1813 Ashland Ave, Sheboygan, WI 53081. The listed phone number is (920) 458-4010.
What is Brandon Phelps's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Brandon Phelps enrolled in Medicare?
Yes. Brandon Phelps 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 organization bills Medicare for Brandon Phelps's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Brandon Phelps reassigns Medicare benefits to Marengo Memorial Hospital (Marengo, IA). The 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 Brandon Phelps's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Brandon Phelps accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Brandon Phelps 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 Brandon Phelps affiliated with any hospitals?
According to CMS data, Brandon Phelps is affiliated with St Lukes Hospital and Compass Memorial Healthcare.
When was this NPI record last updated?
The NPPES record for Brandon Phelps was last updated on July 21, 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.
# Brandon Phelps · NPI 1902224116
Family Medicine physician in Sheboygan, Wisconsin. Individual provider, active in the CMS NPPES registry since April 3, 2014.
## Identity
- **NPI:** 1902224116 (Entity type: Individual)
- **Enumerated:** April 3, 2014
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 64978-21 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1813 ASHLAND AVE, Sheboygan, WI 53081-6125
- **Phone:** (920) 458-4010
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Marengo Memorial Hospital (NPI 1053368191, Marengo, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Des Moines University Of Osteopathic Medicine And Health Sciences, class of 2014
## Record status
- **NPPES last updated:** July 21, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1902224116) · Data from the CMS NPPES public registry.