BONNIE M SAMUELSON (M.D.) – Family Medicine Physician, NPI 1962432658
Family Medicine Physician
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NPPES metrics only — not quality of care.
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20081204000391 | I | Emergency Medicine | WI | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 46 | 28 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 19 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 25 | 17 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 17 | 14 | $0 |
| 77063 | Screening 3d breast mammography | 16 | 16 | $0 |
Insurance plans in this area (ZIP 54401)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| C H I R O P R A C T I C | WI | |
| Nurse Practitioner | WI | |
| Nurse Practitioner | MI | |
| O P T O M E T R Y | WI | |
| - | WI | |
| Nurse Practitioner | WI | |
| - | WI | |
| O P T O M E T R Y | NM | |
| Physical Therapist In Private Practice | WI | |
| Nurse Practitioner | WI |
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