Phoenix Medical Supplies LLC
NPI 1770916892 · Durable Medical Equipment & Medical Supplies · Waukesha, WI
Phoenix Medical Supplies LLC is a Durable Medical Equipment & Medical Supplies organization in Waukesha, WI (NPI 1770916892).
Provider details
- NPI number
- 1770916892
- Entity type
- Organization
- Primary specialty
- Durable Medical Equipment & Medical SuppliesSuppliers
- Organization subpart
- No
- Authorized official
- Jacob Nielsen, Owner(262) 955-8911
- License
- 456-1028557037-02 (WI)
Specialties & taxonomies
Suppliers
Suppliers
Suppliers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- Enumerated
- 2013-08-13
- Last updated
- 2013-08-13
Frequently asked questions
- What is Phoenix Medical Supplies LLC's NPI number?
- Phoenix Medical Supplies LLC's National Provider Identifier (NPI) is 1770916892, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phoenix Medical Supplies LLC?
- Phoenix Medical Supplies LLC is classified in the NPPES registry as Durable Medical Equipment & Medical Supplies (Suppliers).
- Where is Phoenix Medical Supplies LLC located?
- Phoenix Medical Supplies LLC's practice location on file with NPPES is 512 Oakland Ave, Waukesha, WI 53186-5573.
- What is Phoenix Medical Supplies LLC's phone number?
- The practice phone number listed in the NPPES registry for Phoenix Medical Supplies LLC is (262) 955-8911.
- Who is the authorized official for Phoenix Medical Supplies LLC?
- The authorized official listed on Phoenix Medical Supplies LLC's NPPES record is Jacob Nielsen, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phoenix Medical Supplies LLC's NPI active?
- Yes — Phoenix Medical Supplies LLC's NPI (1770916892) is active in the NPPES registry as of the last update on 2013-08-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.