SAMANTHA STAZO APRN-CNP
NPI 1093596447
Nurse Practitioner - Pediatrics in Seattle, WA
About Samantha Stazo Aprn-cnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA STAZO APRN-CNP (NPI 1093596447) is an individual pediatrics provider in Seattle, Washington, licensed in Washington (AP70004703) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha Stazo Aprn-cnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Stazo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Seattle, WA 98105
- Reassigned Medicare billing, Washington enrollment
- Medicare enrollment name: The Association Of Chrmc And University Physicians
- 1,443 clinicians in this Medicare group
Seattle, WA 98104
- Reassigned Medicare billing, Washington enrollment
- 4,364 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 98105 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
SEATTLE, WA 98105
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 Stazo's NPI number?
The NPI number for Samantha Stazo is 1093596447. It was assigned to this individual provider in the NPPES registry on October 11, 2023.
Where is Samantha Stazo located?
Samantha Stazo practices at 4800 Sand Point Way NE, Seattle, WA 98105. The listed phone number is (206) 987-2000.
What is Samantha Stazo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Samantha Stazo enrolled in Medicare?
Yes. Samantha Stazo is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samantha Stazo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Stazo reassigns Medicare benefits to 2 organizations: Association Of Chmc And University Physicians (Seattle, WA) and The Association Of University Physicians (Seattle, WA). 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 Stazo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Stazo accept?
Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samantha Stazo 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 Stazo was last updated on October 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Samantha Stazo, APRN-CNP · NPI 1093596447
Pediatrics physician in Seattle, Washington. Individual provider, active in the CMS NPPES registry since October 11, 2023.
## Identity
- **NPI:** 1093596447 (Entity type: Individual)
- **Enumerated:** October 11, 2023
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP70004703 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4800 SAND POINT WAY NE, Seattle, WA 98105-3901
- **Phone:** (206) 987-2000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Association Of Chmc And University Physicians (NPI 1649497827, Seattle, WA); The Association Of University Physicians (NPI 1023041159, Seattle, WA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1093596447) · Data from the CMS NPPES public registry.