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SAMUEL TERRANOVA NP
NPI 1154201689
Nurse Practitioner - Primary Care in Grand Rapids, MI

Active since September 04, 2025PECOS EnrolledAccepts Medicare Assignment
770 KENMOOR AVE SE STE 100, GRAND RAPIDS, MI 49546(616) 272-3533(616) 259-4839 Get Directions Write a Review

NPPES record last updated: January 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 20, 2026, Sep 4, 2025 (2 updates tracked since 2025).

About Samuel Terranova Np NPPES

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

SAMUEL TERRANOVA NP (NPI 1154201689) is an individual primary care provider in Grand Rapids, Michigan, licensed in Michigan (4704356674) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Mercy Health Saint Mary's, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1154201689
Entity TypeIndividualMale
Primary Taxonomy363LP2300X
Provider Legal NameSAMUEL TERRANOVACredential: NP
Location Address770 KENMOOR AVE SE STE 100Grand Rapids, MI 49546-8602
Mailing Address801 Rosehill RdJackson, MI 49202-1762 · (517) 212-2008 · Fax (517) 212-9023
Phone(616) 272-3533
Fax(616) 259-4839
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 4, 2025
Last NPPES UpdateJanuary 20, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2026
✔ NPI 1154201689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in MI · 4704356674
770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and more.Insurance ›

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

Samuel Terranova Np 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 ID4789173808
PECOS Enrollment IDI20251029002909
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

5

Medicare enrollment records show Samuel Terranova reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northview Health Specialists, PLLC
Same address
Family Medicine
770 KENMOOR AVE SE STE 100
Grand Rapids, MI 49546
  • Reassigned Medicare billing, Michigan enrollment
  • 72 clinicians in this Medicare group
NPI 1629558978 (616) 272-3533
Advantage Health Saint Mary's Medical Group
5.1 mi
Multi-Specialty
200 JEFFERSON SE
Grand Rapids, MI 49503
  • Reassigned Medicare billing, Michigan enrollment
  • 737 clinicians in this Medicare group
NPI 1952340911 (616) 685-5000
Careline Palliative Care LLC
76 mi
Hospice and Palliative Medicine
801 ROSEHILL RD
Jackson, MI 49202
  • Reassigned Medicare billing, Michigan enrollment
  • 73 clinicians in this Medicare group
NPI 1801367073 (517) 212-2008
Northview Medical House Calls Plc
88 mi
Family Medicine
4760 FASHION SQUARE BLVD STE L-1
Saginaw, MI 48604
  • Reassigned Medicare billing, Michigan enrollment
  • 82 clinicians in this Medicare group
NPI 1336447002 (517) 212-9000
Provider Partners Care Management LP
524 mi
Nurse Practitioner
8820 COLUMBIA 100 PKWY STE 430
Columbia, MD 21045
  • Reassigned Medicare billing, Michigan enrollment
  • 52 clinicians in this Medicare group
NPI 1013348028 (443) 275-9800

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.

Mercy Health Saint Mary's

Acute Care Hospitals · Grand Rapids, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number230059
Location200 Jefferson Avenue SEGrand Rapids, MI 49503 · Kent County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49546 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

GAVIN O'BRIEN
Physician Assistant
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MRS. SARAH A THOMSEN FNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
BRITTANY J DEVRIES AGNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
ERIN KUCHAREK A-GNP-C
Nurse Practitioner (Primary Care)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (517) 212-2008
EMINA CELOVIC DNP
Nurse Practitioner (Adult Health)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
WILLIAM H DUKES MD
Family Medicine
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
MR. JEREMY RICHARD HERR MS, FNP, APNP
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533
CORINNA LEE BALENTINE FNP-C
Nurse Practitioner (Family)
770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI 49546
Kent County (616) 272-3533

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 Terranova's NPI number?

The NPI number for Samuel Terranova is 1154201689. It was assigned to this individual provider in the NPPES registry on September 4, 2025.

Where is Samuel Terranova located?

Samuel Terranova practices at 770 Kenmoor Ave SE Ste 100, Grand Rapids, MI 49546. The listed phone number is (616) 272-3533.

What is Samuel Terranova's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Samuel Terranova enrolled in Medicare?

Yes. Samuel Terranova 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 Samuel Terranova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Terranova reassigns Medicare benefits to 5 organizations: Northview Health Specialists, PLLC (Grand Rapids, MI), Advantage Health Saint Mary's Medical Group (Grand Rapids, MI), Careline Palliative Care LLC (Jackson, MI), Northview Medical House Calls Plc (Saginaw, MI) and Provider Partners Care Management LP (Columbia, MD). 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 Samuel Terranova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Terranova accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company and Priority Health list Samuel Terranova 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.

Is Samuel Terranova affiliated with any hospitals?

According to CMS data, Samuel Terranova is affiliated with Mercy Health Saint Mary's.

When was this NPI record last updated?

The NPPES record for Samuel Terranova was last updated on January 20, 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.