SAMANTHA JO MOODY FNP-C
NPI 1093316663
Nurse Practitioner - Family in Centreville, MI
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, is affiliated with Three Rivers Health, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
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 Jo Moody Fnp-c 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Moody reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Centreville, MI 49032
- Reassigned Medicare billing, Michigan enrollment
- 10 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
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Three Rivers Health
Acute Care Hospitals · Three Rivers, MIPhysician 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CENTREVILLE, MI 49032
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samantha Moody's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Moody reassigns Medicare benefits to Covered Bridge Healthcare Of St. Joseph County Inc (Centreville, MI). The 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 Moody's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 2 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.
Is Samantha Moody affiliated with any hospitals?
According to CMS data, Samantha Moody is affiliated with Three Rivers Health.
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.
# Samantha Jo Moody, FNP-C · NPI 1093316663
Family physician in Centreville, Michigan. Individual provider, active in the CMS NPPES registry since November 2, 2020.
## Identity
- **NPI:** 1093316663 (Entity type: Individual)
- **Enumerated:** November 2, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704314094 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 658 E MAIN ST, Centreville, MI 49032-9627
- **Phone:** (269) 467-3228
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Covered Bridge Healthcare Of St. Joseph County Inc (NPI 1063876910, Centreville, MI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** November 2, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1093316663) · Data from the CMS NPPES public registry.