SAMANTHA BARTELT PMHNP-BC
NPI 1013744937
Nurse Practitioner - Psychiatric/Mental Health in Moorhead, MN

Q: What is Samantha Bartelt's NPI number?

The NPI number for Samantha Bartelt is 1013744937. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Q: What is Samantha Bartelt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Bartelt was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.

Active since September 16, 2024PECOS EnrolledAccepts Medicare Assignment

4000 28TH AVE S, MOORHEAD, MN 56560(701) 234-3200 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 13, 2024, Nov 13, 2024, Sep 16, 2024 (3 updates tracked since 2024).

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About Samantha Bartelt Pmhnp-bc NPPES

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

SAMANTHA BARTELT PMHNP-BC (NPI 1013744937) is an individual psychiatric/mental health provider in Moorhead, Minnesota, licensed in Minnesota (12192) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013744937

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA BARTELTCredential: PMHNP-BC

Location Address4000 28TH AVE SMoorhead, MN 56560-7926

Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074

Phone(701) 234-3200

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateSeptember 16, 2024

Last NPPES UpdateDecember 13, 20243 updates tracked since enumeration

NPPES CertifiedDecember 13, 2024

✔ NPI 1013744937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MN · 12192✔ Licensed in ND · 201280

Also ListedRegistered NurseTaxonomy 163W00000X · License R35215 (ND), 198792-8 (MN)

4000 28TH AVE S, Moorhead, MN 56560

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Sanford Health Plan and more.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

Samantha Bartelt Pmhnp-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 ID6406383264

PECOS Enrollment IDI20241218002713

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number350011

Location801 Broadway NorthFargo, ND 58122 · Cass County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56560 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

$85.82 typical visit price

range $56.00 – $168.28

Typical copayment $21.45 (range $14.00 – $42.07)

Most-billed visit code 99203

Established Patient

$98.61 typical visit price

range $18.32 – $138.04

Typical copayment $24.65 (range $4.58 – $34.51)

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.

CARLEY MARIE BAYER APRN, CNP

Nurse Practitioner