SAMANTHA SOAAD GLOTFELTY MD
NPI 1063157428
Family Medicine in St James, MN

Q: What is Samantha Glotfelty's NPI number?

The NPI number for Samantha Glotfelty is 1063157428. It was assigned to this individual provider in the NPPES registry on April 30, 2022. The provider is also known as Samantha Soaad Elfanagely.

Q: What is Samantha Glotfelty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 30, 2022PECOS Enrolled

1101 MOULTON & PARSONS DR, ST JAMES, MN 56081(507) 375-3391 Get Directions Write a Review

NPPES record last updated: June 23, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 23, 2025, Feb 19, 2025, Apr 30, 2022 (3 updates tracked since 2022).

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About Samantha Soaad Glotfelty Md NPPES

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

SAMANTHA SOAAD GLOTFELTY MD (NPI 1063157428) is an individual family medicine provider in St James, Minnesota, licensed in Minnesota (79313) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chapel Hill.

NPPES Registry Identity

NPI1063157428

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameSAMANTHA SOAAD GLOTFELTYCredential: MD

Location Address1101 MOULTON & PARSONS DRSt James, MN 56081-0460

Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511

Phone(507) 375-3391

Sole ProprietorNo

Enumeration DateApril 30, 2022

Last NPPES UpdateJune 23, 20253 updates tracked since enumeration

NPPES CertifiedJune 23, 2025

✔ NPI 1063157428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MN · 79313

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License GLOT-8HAPDL (NC)

1101 MOULTON & PARSONS DR, St James, MN 56081

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Other Names 1

Former Name (1)Samantha Soaad Elfanagely

Secondary Practice Location 1

Location 1590 Manning DrChapel Hill, NC 27599-6119 · Phone (984) 974-0210

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Soaad Glotfelty Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Glotfelty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mayo Clinic Health System-St James

1.3 mi

Critical Access

1101 MOULTON AND PARSONS DR
Saint James, MN 56081

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1023177730 (Minnesota)
390 clinicians in this Medicare group

NPI 1639198732 (507) 375-3261

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 56081 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

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

LAURA GRACE KOSTOS PA-C

Physician Assistant

1101 MOULTON & PARSONS DR
SAINT JAMES, MN 56081

Watonwan County (507) 375-3391

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 Glotfelty's NPI number?

The NPI number for Samantha Glotfelty is 1063157428. It was assigned to this individual provider in the NPPES registry on April 30, 2022. The provider is also known as Samantha Soaad Elfanagely.

Where is Samantha Glotfelty located?

Samantha Glotfelty practices at 1101 Moulton & Parsons Dr, St James, MN 56081. The listed phone number is (507) 375-3391.

What is Samantha Glotfelty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Glotfelty enrolled in Medicare?

Yes. Samantha Glotfelty is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Glotfelty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Glotfelty reassigns Medicare benefits to Mayo Clinic Health System-St James (Saint James, MN). The 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 Glotfelty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Glotfelty was last updated on June 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.