SAMUEL TERRANOVA NP
NPI 1154201689
Nurse Practitioner - Primary Care in Grand Rapids, MI
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 and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
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 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.
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.
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.
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
GRAND RAPIDS, MI 49546
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.
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 6 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.
# Samuel Terranova, NP · NPI 1154201689
Primary Care physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since September 4, 2025.
## Identity
- **NPI:** 1154201689 (Entity type: Individual)
- **Enumerated:** September 4, 2025
- **Primary specialty:** Nurse Practitioner - Primary Care · taxonomy 363LP2300X
- **State license:** 4704356674 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 770 KENMOOR AVE SE STE 100, Grand Rapids, MI 49546-8602
- **Phone:** (616) 272-3533 · **Fax:** (616) 259-4839
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** January 20, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1154201689) · Data from the CMS NPPES public registry.