SAMANTHA QUILLEN CNP
NPI 1083018915
Nurse Practitioner - Family in Dover, OH

Active since October 21, 2014PECOS EnrolledAccepts Medicare Assignment
110 DUBLIN DR, DOVER, OH 44622(330) 343-0753 Get Directions Write a Review

NPPES record last updated: November 12, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Quillen Cnp NPPES

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

SAMANTHA QUILLEN CNP (NPI 1083018915) is an individual family provider in Dover, Ohio, licensed in Ohio (16577) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Union Hospital, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1083018915
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA QUILLENCredential: CNP
Location Address110 DUBLIN DRDover, OH 44622-7805
Mailing Address110 Dublin DrDover, OH 44622-7805 · (330) 343-0753
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 21, 2014
Last NPPES UpdateNovember 12, 2020
NPPES CertifiedNovember 12, 2020
✔ NPI 1083018915 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 OH · 16577
110 DUBLIN DR, Dover, OH 44622

Accepted 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

Samantha Quillen 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 ID749505279
PECOS Enrollment IDI20150204001425
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

2

Medicare enrollment records show Samantha Quillen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural
659 BOULEVARD
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
  • 99 clinicians in this Medicare group
Family Medicine
659 BOULEVARD ST
Dover, OH 44622
  • Reassigned Medicare billing, Ohio enrollment
  • 126 clinicians in this Medicare group

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 2

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services19 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital

Acute Care Hospitals · Dover, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360010
Location659 BoulevardDover, OH 44622 · Tuscarawas County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Twin City Medical Center

Critical Access Hospitals · Dennison, OH
OwnershipVoluntary non-profit - Church
CMS Certification Number361302
Location819 North First StreetDennison, OH 44621 · Tuscarawas County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44622 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 10

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

Nurse Practitioner
110 DUBLIN DR
DOVER, OH 44622
Nurse Practitioner (Family)
110 DUBLIN DR
DOVER, OH 44622
Family Medicine
110 DUBLIN DR
DOVER, OH 44622
Family Medicine
110 DUBLIN DR
DOVER, OH 44622
General Practice
110 DUBLIN DR, STE A
DOVER, OH 44622
Nurse Practitioner (Family)
110 DUBLIN DR
DOVER, OH 44622
Nurse Practitioner (Family)
110 DUBLIN DR
DOVER, OH 44622
Nurse Practitioner (Family)
110 DUBLIN DR
DOVER, OH 44622

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 Quillen's NPI number?

The NPI number for Samantha Quillen is 1083018915. It was assigned to this individual provider in the NPPES registry on October 21, 2014.

Where is Samantha Quillen located?

Samantha Quillen practices at 110 Dublin Dr, Dover, OH 44622. The listed phone number is (330) 343-0753.

What is Samantha Quillen's specialty?

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

Is Samantha Quillen enrolled in Medicare?

Yes. Samantha Quillen 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 Samantha Quillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Quillen reassigns Medicare benefits to 2 organizations: The Union Hospital Association (Dover, OH) and Union Physician Services, LLC (Dover, OH). 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 Samantha Quillen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Quillen accept?

Health plans from CareSource list Samantha Quillen 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 Quillen affiliated with any hospitals?

According to CMS data, Samantha Quillen is affiliated with Union Hospital, Cleveland Clinic and Twin City Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Quillen was last updated on November 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.