MRS. SAMANTHA MARIE NEELY MSN, RN, AGACNP-BC
NPI 1013504133
Nurse Practitioner in Ann Arbor, MI

Active since December 22, 2020PECOS EnrolledAccepts Medicare Assignment
1500 E MEDICAL CENTER DR, ANN ARBOR, MI 48109(734) 936-4000 Get Directions Write a Review

NPPES record last updated: October 25, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Oct 25, 2022, Dec 22, 2020 (2 updates tracked since 2020).

About Mrs. Samantha Marie Neely Msn, Rn, Agacnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SAMANTHA MARIE NEELY MSN, RN, AGACNP-BC (NPI 1013504133) is an individual nurse practitioner in Ann Arbor, Michigan, licensed in Michigan (4704311141) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Grosse Pointe, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1013504133
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SAMANTHA MARIE NEELYCredential: MSN, RN, AGACNP-BC
Location Address1500 E MEDICAL CENTER DRAnn Arbor, MI 48109-5000
Mailing Address3621 S State StAnn Arbor, MI 48108-1633 · (734) 647-5299
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateDecember 22, 2020
Last NPPES UpdateOctober 25, 20222 updates tracked since enumeration
NPPES CertifiedOctober 25, 2022
NPI 1013504133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in MI · 4704311141
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 4704311141 (MI)
1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Other Names 1

Former Name (1)Samantha Zajac

Secondary Practice Location 1

Location 1468 Cadieux RdGrosse Pointe, MI 48230-1507 · Phone (313) 473-1000

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samantha Marie Neely Msn, Rn, Agacnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769899186
PECOS Enrollment IDI20210401000642
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48109 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist (Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Psychiatry & Neurology (Psychiatry)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 48109

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Samantha Neely's NPI number?

The NPI number for Samantha Neely is 1013504133. It was assigned to this individual provider in the NPPES registry on December 22, 2020.

Where is Samantha Neely located?

Samantha Neely practices at 1500 E Medical Center Dr, Ann Arbor, MI 48109. The listed phone number is (734) 936-4000.

What is Samantha Neely's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Neely enrolled in Medicare?

Yes. Samantha Neely is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Neely accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Samantha Neely as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Samantha Neely was last updated on October 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.