Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samantha L Thiede, APNP

Individual provider Nurse Practitioner · NPI 1306454053

Samantha L Thiede, APNP is a Nurse Practitioner in Waupun, Wisconsin. Qualified in 2020, 6 years ago. Practices with Agnesian Healthcare Inc, a 390-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
6
Licensed in
WI
In the registry since
2020

Practice location Address checks out

608 W Brown St
Waupun, WI 53963-1788
Phone: (920) 324-6801
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1818 N Meade St, Appleton, WI 54911-3454 — (920) 735-7645

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 10152 (WI)

Record details

NPI number1306454053
Entity typeIndividual (Type 1)
GenderFemale
Credentials APNP
Sole proprietorNo
NPI enumeratedJuly 20, 2020
Last updated in NPPESMay 4, 2022
Certification dateMay 4, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Agnesian Healthcare Inc — 390 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Waupun