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SAMANTHA FUGAL HEALEY FNP-BC
NPI 1124889563
Nurse Practitioner in Ogden, UT

Active since January 22, 2024PECOS Enrolled
4401 HARRISON BLVD STE 2895, OGDEN, UT 84403(801) 387-3740 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 6, 2026, Mar 13, 2025, Feb 6, 2025 (3 updates tracked since 2025).

About Samantha Fugal Healey Fnp-bc NPPES

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

SAMANTHA FUGAL HEALEY FNP-BC (NPI 1124889563) is an individual nurse practitioner in Ogden, Utah, licensed in Utah (5541859-4405) and active in the NPI registry since January 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124889563
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA FUGAL HEALEYCredential: FNP-BC
Location Address4401 HARRISON BLVD STE 2895Ogden, UT 84403-3195
Mailing AddressPo Box 27128Salt Lake City, UT 84127-0128
Phone(801) 387-3740
Sole ProprietorNo
Enumeration DateJanuary 22, 2024
Last NPPES UpdateJanuary 6, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1124889563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 5541859-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
4401 HARRISON BLVD STE 2895, Ogden, UT 84403
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Fugal Healey 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Healey reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ihc Health Services Inc
Same address
Critical Care Medicine
4401 HARRISON BLVD
Ogden, UT 84403
  • Reassigned Medicare billing, Utah enrollment
  • 3,691 clinicians in this Medicare group
NPI 1366764813 (801) 357-2035

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 84403 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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 2

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

SUMAIRA A ARAIN MD
Hospitalist
4401 HARRISON BLVD STE 2895
OGDEN, UT 84403
Weber County (801) 387-3740
DR. HEATH AARON COBB M.D.
Pediatrics
4401 HARRISON BLVD STE 2895, STE 4875
OGDEN, UT 84403
Weber County (801) 387-3740

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 Healey's NPI number?

The NPI number for Samantha Healey is 1124889563. It was assigned to this individual provider in the NPPES registry on January 22, 2024.

Where is Samantha Healey located?

Samantha Healey practices at 4401 Harrison Blvd Ste 2895, Ogden, UT 84403. The listed phone number is (801) 387-3740.

What is Samantha Healey's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Healey enrolled in Medicare?

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

Which organization bills Medicare for Samantha Healey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Healey reassigns Medicare benefits to Ihc Health Services Inc (Ogden, UT). The 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 Healey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Healey was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.