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SAMANTHA JO PRENDERGAST FNP-BC
NPI 1124689963
Nurse Practitioner - Family in Utica, NY

Active since June 24, 2019PECOS Enrolled
78.7/100
CMS Quality Rating
1656 CHAMPLIN AVE STE 406, UTICA, NY 13502(315) 269-9443 Get Directions Write a Review

NPPES record last updated: June 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jo Prendergast Fnp-bc NPPES

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

SAMANTHA JO PRENDERGAST FNP-BC (NPI 1124689963) is an individual family provider in Utica, New York, licensed in New York (344571) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124689963
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO PRENDERGASTCredential: FNP-BC
Location Address1656 CHAMPLIN AVE STE 406Utica, NY 13502-4830
Mailing Address1923 Redfield AveUtica, NY 13501-2708 · (315) 269-9443
Phone(315) 269-9443
Sole ProprietorYes
Enumeration DateJune 24, 2019
✔ NPI 1124689963 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 · 344571
1656 CHAMPLIN AVE STE 406, Utica, NY 13502
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Jo Prendergast Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
109 services49 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13502 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.73
Promoting Interoperability99
Improvement Activities40
Cost42.38

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 Prendergast's NPI number?

The NPI number for Samantha Prendergast is 1124689963. It was assigned to this individual provider in the NPPES registry on June 24, 2019.

Where is Samantha Prendergast located?

Samantha Prendergast practices at 1656 Champlin Ave Ste 406, Utica, NY 13502. The listed phone number is (315) 269-9443.

What is Samantha Prendergast's specialty?

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

Is Samantha Prendergast enrolled in Medicare?

Yes. Samantha Prendergast is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Prendergast was last updated on June 24, 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.