SAMANTHA RAE WALSH AGACNP-BC
NPI 1144108283
Nurse Practitioner - Acute Care in West Islip, NY

Q: What is Samantha Walsh's NPI number?

The NPI number for Samantha Walsh is 1144108283. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Q: What is Samantha Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Walsh was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 26, 2025PECOS Enrolled

1000 MONTAUK HWY, WEST ISLIP, NY 11795(631) 376-3000 Get Directions Write a Review

NPPES record last updated: August 26, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Samantha Rae Walsh Agacnp-bc NPPES

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

SAMANTHA RAE WALSH AGACNP-BC (NPI 1144108283) is an individual acute care provider in West Islip, New York, licensed in New York (F433351-01) and active in the NPI registry since August 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1144108283

Entity TypeIndividualFemale

Primary Taxonomy363LA2100X

Provider Legal NameSAMANTHA RAE WALSHCredential: AGACNP-BC

Location Address1000 MONTAUK HWYWest Islip, NY 11795-4927

Mailing Address1000 Montauk HwyWest Islip, NY 11795-4927 · (631) 376-3000

Phone(631) 376-3000

Sole ProprietorNo

Enumeration DateAugust 26, 2025

NPPES CertifiedAugust 26, 2025

✔ NPI 1144108283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2100X

License✔ Licensed in NY · F433351-01

1000 MONTAUK HWY, West Islip, NY 11795

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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 Rae Walsh Agacnp-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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11795 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

DR. ANTHONY NGUYEN MD

Obstetrics & Gynecology

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-4163

LAUREN MARIE CHOBAN DO

Emergency Medicine

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

MISS MUNMUN AZIZ MD

Student in an Organized Health Care Education/Training Program

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (929) 340-5665

TERENCE JAMES OMALLEY MD

Anesthesiology

1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795

Suffolk County (631) 376-4088

PIOTR PAPUZINSKI MD

Internal Medicine

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

LAURIE WATERS PA

Physician Assistant

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

SHELLEY MATSON RN

Registered Nurse

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

RIDDA MANZOOR MD

Student in an Organized Health Care Education/Training Program

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-4163

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 Walsh's NPI number?

The NPI number for Samantha Walsh is 1144108283. It was assigned to this individual provider in the NPPES registry on August 26, 2025.

Where is Samantha Walsh located?

Samantha Walsh practices at 1000 Montauk Hwy, West Islip, NY 11795. The listed phone number is (631) 376-3000.

What is Samantha Walsh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Samantha Walsh enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Walsh was last updated on August 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.