SAMANTHA PERI RUSH APRN, CNP
NPI 1063382265
Nurse Practitioner in Chicago, IL

Q: What is Samantha Rush's NPI number?

The NPI number for Samantha Rush is 1063382265. It was assigned to this individual provider in the NPPES registry on November 11, 2025.

Q: What is Samantha Rush'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 Rush was last updated on April 29, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 11, 2025PECOS EnrolledAccepts Medicare Assignment

676 N SAINT CLAIR ST STE 14-044, CHICAGO, IL 60611(312) 695-1800(312) 695-1394 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 29, 2026, Nov 11, 2025 (2 updates tracked since 2025).

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About Samantha Peri Rush Aprn, Cnp NPPES

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

SAMANTHA PERI RUSH APRN, CNP (NPI 1063382265) is an individual nurse practitioner in Chicago, Illinois, licensed in Illinois (209032912) and active in the NPI registry since November 2025. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1063382265

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameSAMANTHA PERI RUSHCredential: APRN, CNP

Location Address676 N SAINT CLAIR ST STE 14-044Chicago, IL 60611-2927

Mailing Address676 N Saint Clair St Ste 14-044Chicago, IL 60611-2927 · (312) 695-1800 · Fax (312) 695-1394

Phone(312) 695-1800

Fax(312) 695-1394

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 11, 2025

Last NPPES UpdateApril 29, 20262 updates tracked since enumeration

NPPES CertifiedApril 29, 2026

✔ NPI 1063382265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in IL · 209032912

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.

Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 209.032912 (IL)

676 N SAINT CLAIR ST STE 14-044, Chicago, IL 60611

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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

Samantha Peri Rush Aprn, Cnp 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 ID5193204543

PECOS Enrollment IDI20260206000878

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.

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$105.70 typical visit price

range $18.97 – $148.12

Typical copayment $26.42 (range $4.74 – $37.03)

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.

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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.

CODY KELLEY PA-C

Physician Assistant