Susan Sample
NP | Nurse Practitioner - Psych/Mental Health | 9+ years Exp
700 N Westhaven Dr, Oshkosh
Wisconsin, 54904
920-456-2030
Susan Sample is a Oshkosh, Wisconsin based nurse practitioner with 9 years of experience in Psych/Mental Health. She completed her graduation in 2016. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Susan Sample is 7300-33 for Psych/Mental Health in Wisconsin. Her current practice location is 700 N Westhaven Dr, Oshkosh. Patients can reach her at 920-456-2030 or can fax her at 920-456-2025. Susan Sample is NP with specialization in Psych/Mental Health and her NPI number (Unique professional ID assigned by NPPES) is 1316496565.
Susan Sample provides a full range of primary mental health care services, including biopsychosocial assessment and diagnosis of patients with mental illness and co-occurring disorders. Treatment modalities include both medication and psychotherapeutic management. Psych/Mental Health Nurse Practitioner (PMHNP) works in a variety of settings, including inpatient, emergency and community-based mental health services.
Complete Profile:
Susan Sample speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Susan Sample |
| Specialization: | Psych/Mental Health Nurse Practitioner (PMHNP) |
| Gender: | Female |
| Credentials: | NP |
| Experience: | 9+ years |
| Medical School Attended: | Other |
| Graduation Year: | 2016 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 700 N Westhaven Dr, Oshkosh,
Wisconsin, 54904 |
| Phone: | 920-456-2030 |
| Fax: | 920-456-2025 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 0345538666 |
| Enrollment ID: | I20161019000740 |
| NPI Number: | 1316496565 |
| NPI Enumeration Date: | 29 Sep, 2016 |
| NPI Last Update On: | 21 Nov, 2025 |
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Susan Sample are as mentioned below.
| License Number | Specialization | State | Status | |
| 7300-33 | Psych/Mental Health | Wisconsin | Primary | |
| 7300 | Nurse Practitioner | Wisconsin | Secondary | |
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Susan Sample is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Aurora Medical Group, Inc. (6709794258) | 2867 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Susan Sample such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 100062248 | Medicaid | Wisconsin | |
| 100063103 | Medicaid | Wisconsin | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Susan Sample
Po Box 735044,
Chicago, Illinois |
| Zip: | 60673-5044 |
| Phone Number: | 800-326-2250 |
Patients can reach Susan Sample at
700 N Westhaven Dr, Oshkosh, Wisconsin or can
call to book an appointment on 920-456-2030.
Comments/ Reviews:
Patients can read all the reviews posted for Susan Sample below. You may also share your own experience like the quality of treatment, behavior, and overall care provided by Susan Sample. It will help others make informed decisions.
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 December, 2025.