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SAMANTHA RIDOLFI
NPI 1114485943
Nurse Practitioner - Family in Buffalo, NY

Active since March 11, 2019PECOS EnrolledAccepts Medicare Assignment
ELM AND CARLTON STREETS, BUFFALO, NY 14263(716) 845-2300(716) 845-1110 Get Directions Write a Review

NPPES record last updated: February 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 9, 2021, Jun 12, 2020, Mar 11, 2019 (3 updates tracked since 2019).

About Samantha Ridolfi NPPES

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

SAMANTHA RIDOLFI (NPI 1114485943) is an individual family provider in Buffalo, New York, licensed in New York (343931) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Erie County Medical Center, and maintains a secondary practice location in Williamsville.

NPPES Registry Identity

NPI1114485943
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA RIDOLFI
Location AddressELM AND CARLTON STREETSBuffalo, NY 14263-0001
Mailing Address5232 Lewiston RdLewiston, NY 14092-1944 · (716) 946-4896
Phone(716) 845-2300
Fax(716) 845-1110
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateMarch 11, 2019
Last NPPES UpdateFebruary 9, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 9, 2021
✔ NPI 1114485943 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 NY · 343931
ELM AND CARLTON STREETS, Buffalo, NY 14263
Open in Google Maps ↗

Secondary Practice Location 1

Location 14267 Transit RdWilliamsville, NY 14221-7205 · Phone (716) 946-4896

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ridolfi 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 ID1456686898
PECOS Enrollment IDI20190708002596
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

3

Medicare enrollment records show Samantha Ridolfi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Roswell Park Cancer Institute
9.1 mi
Multi-Specialty
ELM AND CARLTON ST
Buffalo, NY 14263
  • Reassigned Medicare billing, New York enrollment
  • 602 clinicians in this Medicare group
NPI 1720036593 (716) 845-2300
Erie County Medical Center Corporation
11 mi
Clinic/Center
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 302 clinicians in this Medicare group
NPI 1528233616 (716) 898-3000
Buffalo Internist & Associates LLC
11 mi
Internal Medicine
462 GRIDER ST
Buffalo, NY 14215
  • Reassigned Medicare billing, New York enrollment
  • 36 clinicians in this Medicare group
NPI 1134381031 (716) 898-3000

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

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

Erie County Medical Center

Acute Care Hospitals · Buffalo, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330219
Location462 Grider StreetBuffalo, NY 14215 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14263 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 20

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

MUSA SAEED M.D.
Internal Medicine
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
JESSICA LYNN HAFEZI
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
DR. ZHONGBO YANG M.D.
Pathology (Clinical Pathology/Laboratory Medicine)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
DR. VLADIMIR FRIAS D.D.S
Dentist (Prosthodontics)
ELM AND CARLTON STREETS
BUFFA;P, NY 14263
Erie County (716) 845-2300
NOELLE DICKEY NP
Nurse Practitioner
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
MS. MICHELE NANNI PA
Physician Assistant
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
MR. NATHAN A LARICCIA PA-C
Physician Assistant (Medical)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300
JOHN M KANE III MD
Surgery (Surgical Oncology)
ELM AND CARLTON STREETS
BUFFALO, NY 14263
Erie County (716) 845-2300

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 Ridolfi's NPI number?

The NPI number for Samantha Ridolfi is 1114485943. It was assigned to this individual provider in the NPPES registry on March 11, 2019.

Where is Samantha Ridolfi located?

Samantha Ridolfi practices at Elm And Carlton Streets, Buffalo, NY 14263. The listed phone number is (716) 845-2300.

What is Samantha Ridolfi's specialty?

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

Is Samantha Ridolfi enrolled in Medicare?

Yes. Samantha Ridolfi 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 Ridolfi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ridolfi reassigns Medicare benefits to 3 organizations: Roswell Park Cancer Institute (Buffalo, NY), Erie County Medical Center Corporation (Buffalo, NY) and Buffalo Internist & Associates LLC (Buffalo, NY). 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 Ridolfi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Ridolfi affiliated with any hospitals?

According to CMS data, Samantha Ridolfi is affiliated with Erie County Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Ridolfi was last updated on February 9, 2021. 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.