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
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2600 N Mayfair Rd Ste 580
Milwaukee, WI 53226-1321
Phone: (414) 732-2715
Fax: (414) 476-3242
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

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