1. Home
  2. Directory
  3. Connecticut
  4. Danbury
  5. Nurse Practitioner
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMENTHA GILLES APRN-BC
NPI 1063281624
Nurse Practitioner - Family in Danbury, CT

Active since December 25, 2023PECOS EnrolledAccepts Medicare Assignment
57 NORTH ST STE 422, DANBURY, CT 06810(203) 743-5589(203) 203-7909 Get Directions Write a Review

NPPES record last updated: September 27, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 27, 2026, Jan 24, 2026 (2 updates tracked since 2026).

About Samentha Gilles Aprn-bc NPPES

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

SAMENTHA GILLES APRN-BC (NPI 1063281624) is an individual family provider in Danbury, Connecticut, licensed in Connecticut (012738) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in New Fairfield, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063281624
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMENTHA GILLESCredential: APRN-BC
Location Address57 NORTH ST STE 422Danbury, CT 06810-5629
Mailing Address57 North St Ste 422Danbury, CT 06810-5629 · (203) 743-5589 · Fax (203) 203-7979
Phone(203) 743-5589
Fax(203) 203-7909
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateDecember 25, 2023
Last NPPES UpdateSeptember 27, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2026
✔ NPI 1063281624 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 012738
57 NORTH ST STE 422, Danbury, CT 06810
Open in Google Maps ↗

Secondary Practice Location 1

Location 188 State Route 37 Ste 422New Fairfield, CT 06812-5036 · Phone (203) 746-2436 · Fax (203) 746-3205

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samentha Gilles Aprn-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 ID446695274
PECOS Enrollment IDI20240301003027
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 Reassignments

4

Medicare enrollment records show Samentha Gilles reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Optimum Medical Services PLLC
6.9 mi
Family Medicine
88 STATE ROUTE 37 STE 6
New Fairfield, CT 06812
  • Reassigned Medicare billing, Connecticut enrollment
NPI 1477412070 (203) 746-2436
Proactive Health Care Management,llc
24 mi
Adult Health
46 SOUNDVIEW AVE
Milford, CT 06460
  • Reassigned Medicare billing, Connecticut enrollment
  • 60 clinicians in this Medicare group
NPI 1811641145 (203) 895-4360
Margaret Chustecka Internal Medicine Of Greater New Haven
27 mi
Internal Medicine
1952 WHITNEY AVE
Hamden, CT 06517
  • Reassigned Medicare billing, Connecticut enrollment
  • 32 clinicians in this Medicare group
NPI 1053344473 (203) 848-1803
Signify Health Medical Associates, PLLC
1,412 mi
General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Connecticut enrollment
  • 167 clinicians in this Medicare group
NPI 1750845863 (972) 715-3800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
143 services70 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
36 services19 patients
Chronic care management services for two or more chronic conditions, first 30 minutes provided personally by health care professional, per calendar month 99491
Chronic care management services involve a healthcare professional personally providing care for patients with two or more chronic conditions. This service, offered monthly, focuses on the first 30 minutes of care, helping manage and coordinate the patient's health needs.
35 services35 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
31 services27 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
21 services21 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06810 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

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 Samentha Gilles's NPI number?

The NPI number for Samentha Gilles is 1063281624. It was assigned to this individual provider in the NPPES registry on December 25, 2023.

Where is Samentha Gilles located?

Samentha Gilles practices at 57 North St Ste 422, Danbury, CT 06810. The listed phone number is (203) 743-5589.

What is Samentha Gilles's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samentha Gilles enrolled in Medicare?

Yes. Samentha Gilles 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.

Which organizations bill Medicare for Samentha Gilles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samentha Gilles reassigns Medicare benefits to 4 organizations: Optimum Medical Services PLLC (New Fairfield, CT), Proactive Health Care Management,llc (Milford, CT), Margaret Chustecka Internal Medicine Of Greater New Haven (Hamden, CT) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Samentha Gilles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samentha Gilles accept?

Health plans from Anthem Blue Cross and Blue Shield list Samentha Gilles 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 Samentha Gilles was last updated on September 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 34 days 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.