SAMANTHA JO MOODY FNP-C
NPI 1093316663
Nurse Practitioner - Family in Centreville, MI

Active since November 02, 2020PECOS Enrolled
658 E MAIN ST, CENTREVILLE, MI 49032(269) 467-3228 Get Directions Write a Review

NPPES record last updated: November 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jo Moody Fnp-c NPPES

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

SAMANTHA JO MOODY FNP-C (NPI 1093316663) is an individual family provider in Centreville, Michigan, licensed in Michigan (4704314094) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093316663
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO MOODYCredential: FNP-C
Location Address658 E MAIN STCentreville, MI 49032-9627
Mailing Address25 Linda LnColdwater, MI 49036-1035 · (269) 625-0177
Sole ProprietorNo
Enumeration DateNovember 2, 2020
NPPES CertifiedNovember 2, 2020
NPI 1093316663 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 MI · 4704314094
658 E MAIN ST, Centreville, MI 49032

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Samantha Jo Moody Fnp-c 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.

Areas of Expertise CMS Part B claims

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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
24 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49032 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $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 6

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

Clinic/Center (Federally Qualified Health Center (FQHC))
658 E MAIN ST
CENTREVILLE, MI 49032
Nurse Practitioner (Family)
658 E MAIN ST
CENTREVILLE, MI 49032
Pharmacist
658 E MAIN ST
CENTREVILLE, MI 49032
Social Worker (Clinical)
658 E MAIN ST
CENTREVILLE, MI 49032
Family Medicine
658 E MAIN ST
CENTREVILLE, MI 49032
Pharmacy (Long Term Care Pharmacy)
658 E MAIN ST
CENTREVILLE, MI 49032

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 Moody's NPI number?

The NPI number for Samantha Moody is 1093316663. It was assigned to this individual provider in the NPPES registry on November 2, 2020.

Where is Samantha Moody located?

Samantha Moody practices at 658 E Main St, Centreville, MI 49032. The listed phone number is (269) 467-3228.

What is Samantha Moody's specialty?

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

Is Samantha Moody enrolled in Medicare?

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

What insurance does Samantha Moody accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Samantha Moody 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 Samantha Moody was last updated on November 2, 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.