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SAMUEL BENEDICT MAYNARD APRN
NPI 1124671961
Nurse Practitioner - Family in New London, CT

Active since July 22, 2019PECOS EnrolledAccepts Medicare Assignment
1 SHAWS CV, NEW LONDON, CT 06320(860) 447-8304 Get Directions Write a Review

NPPES record last updated: July 22, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Benedict Maynard Aprn NPPES

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

SAMUEL BENEDICT MAYNARD APRN (NPI 1124671961) is an individual family provider in New London, Connecticut, licensed in Connecticut (8305) and active in the NPI registry since July 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1124671961
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL BENEDICT MAYNARDCredential: APRN
Location Address1 SHAWS CVNew London, CT 06320-4902
Mailing Address749 9th St Unit 203Durham, NC 27705-1060 · (504) 432-5708
Phone(860) 447-8304
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 22, 2019
✔ NPI 1124671961 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CT · 8305
Also ListedRegistered NurseTaxonomy 163W00000X · License 162343 (CT)
1 SHAWS CV, New London, CT 06320
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Benedict Maynard Aprn 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 ID143550897
PECOS Enrollment IDI20220105001051
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
42 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06320 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
$93.86 typical visit price
range $60.82 – $183.10
Typical copayment $23.46 (range $15.20 – $45.77)
Most-billed visit code 99203
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
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.

SKYLA YOUNG CEDANO APRN
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MELISSA MILVENAN RN, APRN
Nurse Practitioner
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
STEPHANIE HOWELLS RDH
Dental Hygienist
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
THERESA GRACE BOOTHBY MSN, APRN, NP-C
Nurse Practitioner (Family)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
LAURIE FELKER RN
Registered Nurse
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MARIE SALVEMINI LPC
Counselor (Professional)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MEREDITH WANIK APRN
Nurse Practitioner (Psychiatric/Mental Health)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304
MS. ERICA PRESTON PSYD
Psychologist (Clinical)
1 SHAWS CV
NEW LONDON, CT 06320
Southeastern Connecticut Planning Region (860) 447-8304

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 Samuel Maynard's NPI number?

The NPI number for Samuel Maynard is 1124671961. It was assigned to this individual provider in the NPPES registry on July 22, 2019.

Where is Samuel Maynard located?

Samuel Maynard practices at 1 Shaws Cv, New London, CT 06320. The listed phone number is (860) 447-8304.

What is Samuel Maynard's specialty?

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

Is Samuel Maynard enrolled in Medicare?

Yes. Samuel Maynard 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.

What insurance does Samuel Maynard accept?

Health plans from UnitedHealthcare list Samuel Maynard 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 Samuel Maynard was last updated on July 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.