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Active NPI 1013495068 Individual Practitioner Male Practitioner

Samuel E Kaminski

Nurse Practitioner • Hartland, WI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Samuel Kaminski is a certified Nurse Practitioner practicing in Hartland, WI. With approximately 8 years of clinical experience since completing medical education in 2018, Samuel Kaminski delivers high-quality medical care to the local community at 600 WALNUT RIDGE DR.

Samuel Kaminski is affiliated with Aurora Medical Group, Inc. and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, routine ekg using at least 12 leads including interpretation and report. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

600 Walnut Ridge Dr

Hartland, WI 530299385

Telephone 2623697040
Fax 2623697041
Associated Practice Facility / Clinic
🏢 Aurora Pharmacy Inc Facility NPI 1669497392

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Hartland, WI

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
8 Yrs +3.0 yrs vs City Avg
City Avg: 5.0 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
5 Specialists

Practicing in Hartland, WI (4030 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
79.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kaminski (8 Years) 8 Yrs
Hartland Specialty Average (5.0 Years) 5.0 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
128 122 $350.00 $72.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
108 101 $515.00 $102.24
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
41 41 $510.00 $86.99
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
35 35 $755.00 $132.78
93000 Routine ekg using at least 12 leads including interpretation and report
26 26 $190.00 $11.30
87804 Detection test by immunoassay with direct visual observation for influenza virus
25 20 $80.00 $16.22
93793 Anticoagulant management of patient taking warfarin
22 16 $85.00 $9.11
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
21 21 $80.00 $34.62
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
20 20 $360.00 $98.60
87428 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza
12 12 $130.00 $68.88

Medical Specialties & State Licenses

CMS Verified: 2024-09-26
Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License WI 8678

(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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
100081894 (WI)

Hospital & Practice Group Affiliations

Aurora Medical Group, Inc.

6901 W Edgerton Ave, Milwaukee, WI 532204420

Phone: 4144218400

Practice Associates & Co-Workers

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

19 Associated Practitioners
Dr. Beth Keefe , MD

Internal Medicine

NPI 1013980234

Doctor of Medicine (M.D.)

Dr. Samuel Yoon , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1043692627

Doctor of Medicine (M.D.)

NPI 1043849961

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Dr. Fawad Khan , MD

Internal Medicine

NPI 1184603755

Doctor of Medicine (M.D.)

Michelle Wavra , APNP

Nurse Practitioner

NPI 1205543899

Advanced Practice Nurse Prescriber

NPI 1275776155

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location September 26, 2024

Registered at 600 WALNUT RIDGE DR, HARTLAND, WI 530299385 (Tel: 2623697040)

📍
Updated Business Mailing Address September 26, 2024

Registered at PO BOX 735044, CHICAGO, IL 606735044 (Tel: 8003262250)

📍
Updated Practice Location September 26, 2018

Registered at 200 E RYAN RD, OAK CREEK, WI 531544563 (Tel: 4145703590)

📍
Updated Business Mailing Address September 26, 2018

Registered at 200 E RYAN RD, OAK CREEK, WI 531544563 (Tel: 4145703590)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 26, 2018

Nurse Practitioner (License #8678 in WI)

NPI Profile Active August 01, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location August 01, 2018

Registered at 3237 S 16TH ST, MILWAUKEE, WI 532154526 (Tel: 4146475000)

📍
Updated Business Mailing Address August 01, 2018

Registered at S75W16775 JACOB CT APT 24, MUSKEGO, WI 531508628 (Tel: 2628943816)

👤
Provider Name / Credentials Updated August 01, 2018

Recorded as SAMUEL KAMINSKI

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 01, 2018

Registered Nurse (License #157066-30 in WI)

🟢
Initial NPI Registration & Enumeration August 01, 2018

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: 1013495068
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 01, 2018
Last Update: September 26, 2024
Sole Proprietor: No

Mailing Address

Po Box 735044

Chicago, IL 606735044

Phone: 8003262250

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.