MRS. SAMANTHA EDMONDS
NPI 1063381614
Nurse Practitioner in Orwigsburg, PA

Q: What is Samantha Edmonds's NPI number?

The NPI number for Samantha Edmonds is 1063381614. It was assigned to this individual provider in the NPPES registry on November 3, 2025.

Q: What is Samantha Edmonds's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Edmonds was last updated on November 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 November 03, 2025PECOS EnrolledAccepts Medicare Assignment

1165 CENTRE TPKE, ORWIGSBURG, PA 17961(272) 639-5130(272) 639-5152 Get Directions Write a Review

NPPES record last updated: November 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mrs. Samantha Edmonds NPPES

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

MRS. SAMANTHA EDMONDS (NPI 1063381614) is an individual nurse practitioner in Orwigsburg, Pennsylvania, licensed in Pennsylvania (SP031421) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1063381614

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameMRS. SAMANTHA EDMONDS

Location Address1165 CENTRE TPKEOrwigsburg, PA 17961-9343

Mailing Address74 Kepners RdNew Ringgold, PA 17960-8974 · (272) 639-5130 · Fax (272) 639-5152

Phone(272) 639-5130

Fax(272) 639-5152

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateNovember 3, 2025

NPPES CertifiedNovember 3, 2025

✔ NPI 1063381614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in PA · SP031421

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1165 CENTRE TPKE, Orwigsburg, PA 17961

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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

Mrs. Samantha Edmonds 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 ID8820581374

PECOS Enrollment IDI20251203001329

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.

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17961 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 15

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

DR. DONALD DURAND DIVERIO JR. D.O.

Orthopaedic Surgery