BONNIE M SAMUELSON (M.D.) – Family Medicine Physician, NPI 1962432658

BONNIE M SAMUELSON (M.D.) is a healthcare provider. based in Wausau, Wisconsin. specializing in EMERGENCY MEDICINE, FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 43356 (WI). The NPI Number for BONNIE M SAMUELSON (M.D.) is 1962432658

Main info

Female
32 Years Of Experience
Accepts Medicare Assignment
Name
BONNIE M SAMUELSON (M.D.)
NPI
1962432658
Phone
(715) 847-2472
Address
2720 PLAZA DR
Enumeration Date
5 July 2006
Last Update Date
21 March 2022

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
7154784300
Graduation Year
1994 (32 years ago)
PAC ID
8426029786
Group Practice PAC ID
3375454689
Professional Enrollment ID
I20081204000391
Address ID
WI545208631CR8201XDRXX500

Contacts

Secure Messaging
him@marshfieldclinichealthsystem.cernerdirect.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness85
Years active:19State licenses:1Other namesUpdated within 12 months

1,297 EMERGENCY MEDICINE in WI

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Provider Addresses for BONNIE M SAMUELSON (M.D.)

  • Aspirus Family Health Specialists, 2720, Plaza Drive, Stewart Avenue District, Wausau, Marathon County, Wisconsin, 54401, United States

    SUITE 1100

    WAUSAU, WI 544014158

    Phone: (715) 847-2472

    Type: Location

  • 2720 Plaza Dr

    Suite 1100

    Wausau, WI 544014158

    Phone: (715) 847-2472

    Type: Location

  • 8201 MISH KO SWEN DR

    CRANDON, WI 545208631

    Phone: (715) 478-4300

    Type: Location

  • Wausau Oral Surgery & Dental Implant Center, S.C., 3000, Westhill Drive, Wausau, Marathon County, Wisconsin, 54401, United States

    SUITE 303

    WAUSAU, WI 544013795

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081204000391IEmergency MedicineWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample4628$0
99214Established patient office or other outpatient visit, 30-39 minutes3319$0
80053Blood test, comprehensive group of blood chemicals2517$0
85025Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count1714$0
77063Screening 3d breast mammography1616$0
View full utilization report →

Insurance plans in this area (ZIP 54401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375454689View full group profile
NameSpecialtyState
C H I R O P R A C T I CWI
Nurse PractitionerWI
Nurse PractitionerMI
O P T O M E T R YWI
-WI
Nurse PractitionerWI
-WI
O P T O M E T R YNM
Physical Therapist In Private PracticeWI
Nurse PractitionerWI

Reviews

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Frequently asked questions

Can I cross-check BONNIE M SAMUELSON (M.D.) using NPI 1962432658?
NPI 1962432658 belongs to BONNIE M SAMUELSON (M.D.); compare other details if you need extra assurance.
Is there an active status for BONNIE M SAMUELSON (M.D.)?
For scheduling context, BONNIE M SAMUELSON (M.D.) is shown as active in the registry.
How would a patient describe BONNIE M SAMUELSON (M.D.)'s focus?
For BONNIE M SAMUELSON (M.D.), the primary taxonomy reads as Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Wisconsin is BONNIE M SAMUELSON (M.D.) registered?
Use Wausau, Wisconsin as the headline location for BONNIE M SAMUELSON (M.D.) here.
When was this NPI issued?
Enumeration for BONNIE M SAMUELSON (M.D.) is noted as July 5, 2006 where the registry provides it.

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