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

Individual provider Physician Assistant · NPI 1366824179

Stacy Lamae Van Sambeek, PA is a Physician Assistant in Neenah, Wisconsin. Qualified in 2015, 11 years ago. Practices with Thedacare, Incorporated, a 654-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Wisconsin.

Years since qualifying
11
Licensed in
WI
In the registry since
2015
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

130 2nd St
Neenah, WI 54956-2883
Phone: (920) 725-0077
Fax: (920) 725-6535
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 820 E Grant St, Appleton, WI 54911-3483 — (920) 831-5050

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 3579 (WI)

Record details

NPI number1366824179
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 29, 2015
Last updated in NPPESMay 20, 2021
Certification dateMay 20, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Thedacare, Incorporated — 654 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

Other providers in Neenah