MRS. SAMANTHA MARIE NEELY MSN, RN, AGACNP-BC
NPI 1013504133
Nurse Practitioner in Ann Arbor, MI
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 and maintains a secondary practice location in Grosse Pointe.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Samantha Marie Neely Msn, Rn, Agacnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Neely reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ann Arbor, MI 48109
- Reassigned Medicare billing, Michigan enrollment
- Also billed through NPI 1447275102 (Michigan)
- 2,377 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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.
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
ANN ARBOR, MI 48109
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. The provider is also known as Samantha Zajac.
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 enrollment system.
Which organizations bill Medicare for Samantha Neely's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Neely reassigns Medicare benefits to 2 organizations: Regents Of The University Of Michigan (Ann Arbor, MI) and Beaumont Medical Group- Specialty Services (Royal Oak, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Neely's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 1 other insurer 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Mrs. Samantha Marie Neely, MSN, RN, AGACNP-BC · NPI 1013504133
Nurse Practitioner physician in Ann Arbor, Michigan. Individual provider, active in the CMS NPPES registry since December 22, 2020.
## Identity
- **NPI:** 1013504133 (Entity type: Individual)
- **Enumerated:** December 22, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 4704311141 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109-5000
- **Phone:** (734) 936-4000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Regents Of The University Of Michigan (NPI 1003848144, Ann Arbor, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1013504133) · Data from the CMS NPPES public registry.