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MRS. SAMANTHA MARIE BLACKWELL NP
NPI 1164007381
Nurse Practitioner in Spartanburg, SC

Active since March 10, 2021PECOS EnrolledAccepts Medicare Assignment
82.79/100
CMS Quality Rating
1083 BOILING SPRINGS RD, SPARTANBURG, SC 29303(864) 583-8647(864) 542-2227 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 22, 2021, Mar 10, 2021 (2 updates tracked since 2021).

About Mrs. Samantha Marie Blackwell Np NPPES

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

MRS. SAMANTHA MARIE BLACKWELL NP (NPI 1164007381) is an individual nurse practitioner in Spartanburg, South Carolina, licensed in South Carolina (24729) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, is affiliated with Spartanburg Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1164007381
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMRS. SAMANTHA MARIE BLACKWELLCredential: NP
Location Address1083 BOILING SPRINGS RDSpartanburg, SC 29303-2248
Mailing AddressPo Box 743070Atlanta, GA 30374-3070 · (864) 560-4304 · Fax (864) 560-4413
Phone(864) 583-8647
Fax(864) 542-2227
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 10, 2021
Last NPPES UpdateMarch 11, 20242 updates tracked since enumeration
NPPES CertifiedMarch 11, 2024
✔ NPI 1164007381 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 SC · 24729
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.
1083 BOILING SPRINGS RD, Spartanburg, SC 29303
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Other Names 1

Former Name (1)Samantha Bolt Np

Other Identifiers 2

MedicaidNP7493SC
OtherSCJ8335019SC · Medicare Pin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of North Carolina 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

Mrs. Samantha Marie Blackwell 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 ID648687202
PECOS Enrollment IDI20210326000035
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

3

Medicare enrollment records show Samantha Blackwell reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spartanburg Medical Center
Same address
Cardiovascular Disease
1083 BOILING SPRINGS RD
Spartanburg, SC 29303
  • Reassigned Medicare billing, South Carolina enrollment
  • Also billed through NPI 1740688191 (South Carolina), NPI 1427985407 (South Carolina)
  • 754 clinicians in this Medicare group
NPI 1013781400 (864) 583-8647
Pelham Medical Center
18 mi
Cardiovascular Disease
250 WESTMORELAND RD
Greer, SC 29651
  • Reassigned Medicare billing, South Carolina enrollment
  • 179 clinicians in this Medicare group
NPI 1962644773 (864) 530-2108
Union Medical Center
23 mi
Cardiovascular Disease
1201 FURMAN L FENDLEY HWY
Union, SC 29379
  • Reassigned Medicare billing, South Carolina enrollment
  • 15 clinicians in this Medicare group
NPI 1841074044 (864) 301-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
30 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services16 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Spartanburg Medical Center

Acute Care Hospitals · Spartanburg, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420007
Location101 E Wood StSpartanburg, SC 29303 · Spartanburg County
Emergency services Birthing friendly

Cherokee Medical Center

Acute Care Hospitals · Gaffney, SC
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420043
Location1530 N Limestone StGaffney, SC 29340 · Cherokee County
Emergency services

Pelham Medical Center

Acute Care Hospitals · Greer, SC
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number420103
Location250 Westmoreland RoadGreer, SC 29651 · Greenville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29303 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$95.12 typical visit price
range $16.96 – $133.52
Typical copayment $23.78 (range $4.24 – $33.38)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

82.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.65
Promoting Interoperability100
Improvement Activities40
Cost50.01

Referred Medical Equipment & Supplies CMS DME claims 24

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers86 claims86 services$39.35 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers102 claims102 services$93.91 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers91 claims252 services$35.69 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
5 suppliers26 claims145 services$22.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
7 suppliers24 claims131 services$15.73 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
8 suppliers58 claims59 services$60.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

LARRY E KIBLER M.D.
Internal Medicine (Cardiovascular Disease)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
SPARTANBURG MEDICAL CENTER
Internal Medicine (Cardiovascular Disease)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
NALIN K SRIVASTAVA M.D.
Internal Medicine (Interventional Cardiology)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
DAVID G IKE M.D.
Internal Medicine (Cardiovascular Disease)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
KIRSTEN C HARKNESS AGACNP-BC
Nurse Practitioner (Acute Care)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
MICHAEL PATRICK O'QUINN M.D.
Internal Medicine (Clinical Cardiac Electrophysiology)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
JAMES R STORY M.D.
Internal Medicine (Cardiovascular Disease)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647
DR. AARON GOPAL M.D.
Internal Medicine (Interventional Cardiology)
1083 BOILING SPRINGS RD
SPARTANBURG, SC 29303
Spartanburg County (864) 583-8647

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 Blackwell's NPI number?

The NPI number for Samantha Blackwell is 1164007381. It was assigned to this individual provider in the NPPES registry on March 10, 2021. The provider is also known as Samantha Bolt Np.

Where is Samantha Blackwell located?

Samantha Blackwell practices at 1083 Boiling Springs Rd, Spartanburg, SC 29303. The listed phone number is (864) 583-8647.

What is Samantha Blackwell's specialty?

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

Is Samantha Blackwell enrolled in Medicare?

Yes. Samantha Blackwell 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 Samantha Blackwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Blackwell reassigns Medicare benefits to 3 organizations: Spartanburg Medical Center (Spartanburg, SC), Pelham Medical Center (Greer, SC) and Union Medical Center (Union, SC). 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 Samantha Blackwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Blackwell accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and First Choice Next and 2 other insurers list Samantha Blackwell 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 Samantha Blackwell affiliated with any hospitals?

According to CMS data, Samantha Blackwell is affiliated with Spartanburg Medical Center, Cherokee Medical Center and Pelham Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Blackwell was last updated on March 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.