OrganizationActive
Mayville Family Practice LLC
NPI 1154821387 · Family Medicine Physician · West Bend, WI
Provider details
- NPI number
- 1154821387
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Sammis, Physician/Owner(262) 339-3033
- License
- 48218-21 (WI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
5595 County Road Z
West Bend, WI 53095-9224
Phone: (262) 339-3038
Street-level locationGet directions
Mailing address
3545 Martha Ct
West Bend, WI 53095-8792
Registry dates
- Enumerated
- 2018-02-14
- Last updated
- 2021-08-25
- Certified
- 2021-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.