MS. SAMANTHA LYNN CLOSE FNP-C
NPI 1154917755
Nurse Practitioner - Family in Sayre, PA

Active since December 17, 2020PECOS Enrolled

NPPES record last updated: March 2, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 2, 2021, Dec 17, 2020 (2 updates tracked since 2020).

About Ms. Samantha Lynn Close Fnp-c NPPES

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

MS. SAMANTHA LYNN CLOSE FNP-C (NPI 1154917755) is an individual family provider in Sayre, Pennsylvania, licensed in Pennsylvania (SP022078) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154917755
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SAMANTHA LYNN CLOSECredential: FNP-C
Location Address1 GUTHRIE SQSayre, PA 18840-1625
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858
Sole ProprietorNo
Enumeration DateDecember 17, 2020
Last NPPES UpdateMarch 2, 20212 updates tracked since enumeration
NPPES CertifiedMarch 1, 2021
✔ NPI 1154917755 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 PA · SP022078
1 GUTHRIE SQ, Sayre, PA 18840

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha Lynn Close Fnp-c 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 Close reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
412 S MAIN ST
Athens, PA 18810
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group

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 18840 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Emergency Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Occupational Therapist
1 GUTHRIE SQ
SAYRE, PA 18840
Internal Medicine
1 GUTHRIE SQ
SAYRE, PA 18840
Student in an Organized Health Care Education/Training Program
1 GUTHRIE SQ
SAYRE, PA 18840
Radiology (Diagnostic Radiology)
1 GUTHRIE SQ
SAYRE, PA 18840
Hospitalist
1 GUTHRIE SQ
SAYRE, PA 18840
Physician Assistant
1 GUTHRIE SQ
SAYRE, PA 18840
Physical Medicine & Rehabilitation (Pain Medicine)
1 GUTHRIE SQ
SAYRE, PA 18840

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 Close's NPI number?

The NPI number for Samantha Close is 1154917755. It was assigned to this individual provider in the NPPES registry on December 17, 2020.

Where is Samantha Close located?

Samantha Close practices at 1 Guthrie Sq, Sayre, PA 18840. The listed phone number is (570) 888-5858.

What is Samantha Close's specialty?

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

Is Samantha Close enrolled in Medicare?

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

Which organization bills Medicare for Samantha Close's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Close reassigns Medicare benefits to Guthrie Medical Group, P.C. (Athens, PA). 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 Close's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Close accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Samantha Close 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.

When was this NPI record last updated?

The NPPES record for Samantha Close was last updated on March 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.