SAMANTHA GREENSKY PYKKONEN CRNA
NPI 1093969453
Nurse Anesthetist, Certified Registered in Duluth, MN

Active since November 12, 2008PECOS EnrolledAccepts Medicare Assignment
915 E 1ST ST, DULUTH, MN 55805(218) 249-5555 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Greensky Pykkonen Crna NPPES

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

SAMANTHA GREENSKY PYKKONEN CRNA (NPI 1093969453) is an individual nurse anesthetist, certified registered in Duluth, Minnesota, licensed in Minnesota (1011) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS, is affiliated with North Shore Health, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1093969453
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSAMANTHA GREENSKY PYKKONENCredential: CRNA
Location Address915 E 1ST STDuluth, MN 55805-2107
Mailing Address915 E 1st StDuluth, MN 55805-2107 · (218) 249-5555
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateNovember 12, 2008
Last NPPES UpdateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1093969453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in MN · 1011✔ Licensed in MN · R144371-8
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
915 E 1ST ST, Duluth, MN 55805

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 Greensky Pykkonen Crna 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 ID7618031899
PECOS Enrollment IDI20260317004553, I20260430004436
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

10

Medicare enrollment records show Samantha Pykkonen reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nurse Anesthetist, Certified Registered
915 E 1ST ST
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 513 clinicians in this Medicare group
Anesthesiology
1420 LONDON RD, SUITE 100
Duluth, MN 55805
  • Reassigned Medicare billing, Minnesota enrollment
  • 50 clinicians in this Medicare group
Critical Access
512 SKYLINE BLVD
Cloquet, MN 55720
  • Reassigned Medicare billing, Minnesota enrollment
  • 93 clinicians in this Medicare group
Critical Access
1615 MAPLE LN
Ashland, WI 54806
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 clinicians in this Medicare group
Critical Access
328 W CONAN ST
Ely, MN 55731
  • Reassigned Medicare billing, Minnesota enrollment
  • 43 clinicians in this Medicare group
Critical Access
515 5TH AVE W
Grand Marais, MN 55604
  • Reassigned Medicare billing, Minnesota enrollment
  • 81 clinicians in this Medicare group
Rural Health
653 PILLSBURY STREET NORTH, SUITE 1
Pillager, MN 56473
  • Reassigned Medicare billing, Minnesota enrollment
  • 136 clinicians in this Medicare group
Anesthesiology
14700 28TH AVE N, SUITE 20
Plymouth, MN 55447
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,033 clinicians in this Medicare group
Multi-Specialty
2422 20TH ST SW
Jamestown, ND 58401
  • Reassigned Medicare billing, North Dakota enrollment
  • Also billed through NPI 1548256753 (North Dakota)
  • 95 clinicians in this Medicare group
Critical Access
6640 KANIKSU ST
Bonners Ferry, ID 83805
  • Reassigned Medicare billing, Idaho enrollment
  • Also billed through NPI 1679621098 (Idaho)
  • 69 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.

Hospital Affiliations CMS Care Compare 2

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

North Shore Health

Critical Access Hospitals · Grand Marais, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241317
Location515 5th Ave WestGrand Marais, MN 55604 · Cook County
Emergency services

Jamestown Regional Medical Center

Critical Access Hospitals · Jamestown, ND
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number351335
Location2422 20th St SWJamestown, ND 58401 · Stutsman County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55805 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$69.74 typical visit price
range $18.32 – $138.04
Typical copayment $17.43 (range $4.58 – $34.51)
Most-billed visit code 99213
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 20

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

Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805
Emergency Medicine
915 E 1ST ST
DULUTH, MN 55805
Physical Therapist
915 E 1ST ST
DULUTH, MN 55805
Pharmacist
915 E 1ST ST
DULUTH, MN 55805
Nurse Anesthetist, Certified Registered
915 E 1ST ST
DULUTH, MN 55805
Anesthesiology
915 E 1ST ST
DULUTH, MN 55805

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 Pykkonen's NPI number?

The NPI number for Samantha Pykkonen is 1093969453. It was assigned to this individual provider in the NPPES registry on November 12, 2008.

Where is Samantha Pykkonen located?

Samantha Pykkonen practices at 915 E 1st St, Duluth, MN 55805. The listed phone number is (218) 249-5555.

What is Samantha Pykkonen's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samantha Pykkonen enrolled in Medicare?

Yes. Samantha Pykkonen 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 Pykkonen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pykkonen reassigns Medicare benefits to 10 organizations: St. Luke's Hospital Of Duluth (Duluth, MN), North Shore Anesthesia P.A (Duluth, MN), Community Memorial Hospital Association (Cloquet, MN), Memorial Medical Center Inc (Ashland, WI), Ely-Bloomenson Community Hospital (Ely, MN) and 5 more organizations, listed in the Medicare section above. 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 Pykkonen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Pykkonen accept?

Health plans from Blue Cross Blue Shield of North Dakota list Samantha Pykkonen 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 Pykkonen affiliated with any hospitals?

According to CMS data, Samantha Pykkonen is affiliated with North Shore Health and Jamestown Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Pykkonen was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.