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

Samuel R Stevens, MD

Individual provider Family Medicine Physician · NPI 1306379698

Samuel R Stevens, MD is a Family Practice in Jackson, Wisconsin. Graduated from Medical College of Wisconsin in 2017, 9 years ago. Practices with Froedtert Andthe Medical College of Wisconsin Community Physicians Inc, a 1,255-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
9
Trained at
Medical College of Wisconsin
Licensed in
WI
In the registry since
2017
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

W225N16711 Cedar Park Ct
Jackson, WI 53037-9222
Phone: (262) 677-1101
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 70288-20 (WI)

Record details

NPI number1306379698
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESJune 30, 2020
Certification dateJune 30, 2020
Mailing addressW225n16711 Cedar Park Ct, Jackson, WI 53037-9222

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolMEDICAL COLLEGE OF WISCONSIN
Graduated 2017 (9 years in practice)
Group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc — 1255 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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