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

Samuel Colt Farley

Individual provider Physician Assistant · NPI 1942039318

Samuel Colt Farley is a Physician Assistant in Milwaukee, Wisconsin. Qualified in 2024, 2 years ago. Practices with Ascension Medical Group-Southeast Wisconsin Inc, a 555-clinician group and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
2
Licensed in
WI
In the registry since
2024
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Practice location Address checks out

2600 N Mayfair Rd Ste 580
Milwaukee, WI 53226-1321
Phone: (414) 732-2715
Fax: (414) 476-3242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 8181-23 (WI)

Record details

NPI number1942039318
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 1, 2024
Last updated in NPPESMay 14, 2025
Certification dateMay 14, 2025
Mailing address2600 N Mayfair Rd Ste 580, Milwaukee, WI 53226-1321

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Ascension Medical Group-Southeast Wisconsin Inc — 555 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Milwaukee