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SAMANTHA GAJKOWSKI APRN, AGNP-C
NPI 1043912298
Nurse Practitioner - Gerontology in Salt Lake City, UT

Active since March 21, 2023PECOS EnrolledAccepts Medicare Assignment
555 FOOTHILL DR, SALT LAKE CITY, UT 84112(801) 581-2628 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 9, 2026, Apr 12, 2024, Nov 22, 2023 and 3 more (6 updates tracked since 2023).

About Samantha Gajkowski Aprn, Agnp-c NPPES

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

SAMANTHA GAJKOWSKI APRN, AGNP-C (NPI 1043912298) is an individual gerontology provider in Salt Lake City, Utah, licensed in Utah (13475405-4405) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1043912298
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameSAMANTHA GAJKOWSKICredential: APRN, AGNP-C
Location Address555 FOOTHILL DRSalt Lake City, UT 84112-1106
Mailing Address555 Foothill DrSalt Lake City, UT 84112-1106 · (801) 581-2628 · Fax (801) 585-2293
Phone(801) 581-2628
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMarch 21, 2023
Last NPPES UpdateMarch 9, 20266 updates tracked since enumeration
NPPES CertifiedMarch 9, 2026
✔ NPI 1043912298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in UT · 13475405-4405
Also ListedRegistered NurseTaxonomy 163W00000X · License RN.453580 (OH)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 13475405-4405 (UT)
555 FOOTHILL DR, Salt Lake City, UT 84112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Select Health.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 Gajkowski Aprn, Agnp-c 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 ID4183072119
PECOS Enrollment IDI20231130002384
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.

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

PETER THOMPSON WEIR MD
Family Medicine
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-5382
HANADI M. FARRUKH MD
Internal Medicine
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-7790
MARGARET PATRICIA PETZOLD MD
Family Medicine
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-5382
CLAUDIA F. WILSON RD
Dietitian, Registered
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 585-5382
KAREN L. MILLER MD
Obstetrics & Gynecology
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-8995
CANDACE LYNN HADLEY LCSW
Social Worker (Clinical)
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-8000
KRISTIN MARIE HUEFTLE M.D.
Internal Medicine (Geriatric Medicine)
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 581-2628
UNIVERSITY OF UTAH ADULT SERVICES
Family Medicine (Sports Medicine)
555 FOOTHILL DR
SALT LAKE CITY, UT 84112
Salt Lake County (801) 587-6336

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 Gajkowski's NPI number?

The NPI number for Samantha Gajkowski is 1043912298. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Where is Samantha Gajkowski located?

Samantha Gajkowski practices at 555 Foothill Dr, Salt Lake City, UT 84112. The listed phone number is (801) 581-2628.

What is Samantha Gajkowski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Samantha Gajkowski enrolled in Medicare?

Yes. Samantha Gajkowski 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 Gajkowski accept?

Health plans from Select Health list Samantha Gajkowski 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.

Is Samantha Gajkowski affiliated with any hospitals?

According to CMS data, Samantha Gajkowski is affiliated with University Of Utah Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Samantha Gajkowski was last updated on March 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.