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Stacy Lamae Van Sambeek, PA

NPI 1366824179ActiveIndividual· Physician Assistant· Neenah, WI

Physician Assistant (PA) with Thedacare, Incorporated, practicing in Neenah, Wisconsin. 46 Medicare patients in 2024, $4,156 paid; nearly all of their 142 Part D prescriptions were generic (96%). Depuy Synthes Sales Inc. was the largest of 3 companies reporting payments in 2025, $332.84 in all, mostly food and beverage. Lists Thedacare Regional Med Ctr - Neenah and 1 other hospital as hospital affiliations.

Overview

NPI1366824179
StatusActive
Entity typeIndividual
CredentialPA
Sole proprietorNo
NPI issuedJun 29, 2015
Last updated in NPPESMay 20, 2021
Certified by providerMay 20, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X3579WI

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physician Assistant (WI)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients46
Services billed82 across 30 procedure codes
Paid by Medicare$4,156

Part D prescriptions in 2024

Prescriptions (claims)142 · 142 30-day fills
Patients86
Total drug cost$4,044
Generic share96% of claims

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyPhysician Assistant

Medical group

Hospital affiliations

Source: CMS Care Compare

Industry payments (Open Payments)

  • 2025$332.84 · 9 payments from 3 companies

Top paying companies in 2025

What the 2025 payments were for

  • Food and Beverage$332.84 · 9 payments

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records

Other physician assistants in Neenah

All 28 physician assistants in Neenah · All physician assistants in Wisconsin