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Active NPI 1366824179 Individual Practitioner Female Practitioner

Stacy Lamae Van Sambeek , PA

Physician Assistant • Neenah, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacy Van Sambeek, PA is a certified Physician Assistant practicing in Neenah, WI. With approximately 11 years of clinical experience since completing medical education in 2015, Stacy Van Sambeek delivers high-quality medical care to the local community at 130 2ND ST.

Stacy Van Sambeek is affiliated with Thedacare, Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

130 2nd St

Neenah, WI 549562883

Telephone 9207250077
Fax 9207256535
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Neenah, WI

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -1.4 yrs vs City Avg
City Avg: 12.4 Yrs
State Avg: 14.1 Yrs
Regional Practice Density
27 Specialists

Practicing in Neenah, WI (3517 Statewide)

Telehealth Adoption Rate
14.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
72.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Van Sambeek (11 Years) 11 Yrs
Neenah Specialty Average (12.4 Years) 12.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes
19 14 $263.00 $72.55

Medical Specialties & State Licenses

CMS Verified: 2021-05-20
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WI 3579

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Thedacare, Incorporated

130 2nd St, Neenah, WI 549562883

Phone: 9207292030

Thedacare, Incorporated

3 Neenah Ctr, Neenah, WI 549563070

Thedacare, Incorporated

130 2nd St, Neenah, WI 549562883

Phone: 9207250077

Thedacare, Incorporated

600 N Westhaven Dr, Oshkosh, WI 549046926

Phone: 9207250077

Thedacare, Incorporated

2400 E Capitol Dr, Appleton, WI 549118728

Phone: 9207202300

Thedacare, Incorporated

4480 W Spencer St, Appleton, WI 54915

Phone: 9207384800

Secondary Practice Locations

820 E Grant St

Appleton, WI 549113483

Phone: 9208315050

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
Jolynn Kekke , PA

Physician Assistant

NPI 1033227517

Physician Assistant

Dr. James Mitchell , MD

Orthopaedic Surgery

NPI 1104922467

Doctor of Medicine (M.D.)

Dr. Maria Laundrie , DPT

Physical Therapist

NPI 1184518318

Doctor of Physical Therapy

Marisa Kreuzer , APRN

Nurse Practitioner - Adult Health

NPI 1205467800

Advanced Practice Registered Nurse

Dr. Nickolas Linkous , MD

Orthopaedic Surgery

NPI 1285015834

Doctor of Medicine (M.D.)

Amanda Mann , APNP

Nurse Practitioner

NPI 1508115379

Advanced Practice Nurse Prescriber

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location May 20, 2021

Registered at 130 2ND ST, NEENAH, WI 549562883 (Tel: 9207250077)

NPI Profile Active March 14, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location March 14, 2017

Registered at 820 E GRANT ST, APPLETON, WI 549113483 (Tel: 9208315050)

📍
Updated Business Mailing Address March 14, 2017

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963200)

👤
Provider Name / Credentials Updated March 14, 2017

Recorded as STACY VAN SAMBEEK, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2017

Physician Assistant (License #3579 in WI)

📍
Updated Practice Location March 13, 2017

Registered at 820 E GRANT ST, APPLETON, WI 549113483 (Tel: 9208315050)

👤
Provider Name / Credentials Updated March 13, 2017

Recorded as STACY VAN SAMBEEK, PA

NPI Profile Active June 29, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 29, 2015

Registered at 1818 N MEADE ST, SUITE N347, APPLETON, WI 549113454 (Tel: 9202251449)

📍
Updated Business Mailing Address June 29, 2015

Registered at PO BOX 8003, APPLETON, WI 549128003 (Tel: 9209963200)

👤
Provider Name / Credentials Updated June 29, 2015

Recorded as STACY BACKEN, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 29, 2015

Physician Assistant (License #3579 in WI)

🟢
Initial NPI Registration & Enumeration June 29, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366824179
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 29, 2015
Last Update: May 20, 2021
Sole Proprietor: No

Mailing Address

Po Box 8003

Appleton, WI 549128003

Phone: 9209963200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.