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SAMANTHA SHOLEH WILLEN PMHNP
NPI 1174186670
Nurse Practitioner - Psychiatric/Mental Health in Phoenix, AZ

Active since April 19, 2019PECOS Enrolled
2311 W ROYAL PALM RD, PHOENIX, AZ 85021(602) 353-2340 Get Directions Write a Review

NPPES record last updated: July 30, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 30, 2019, Jul 22, 2019, Apr 19, 2019 (3 updates tracked since 2019).

About Samantha Sholeh Willen Pmhnp NPPES

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

SAMANTHA SHOLEH WILLEN PMHNP (NPI 1174186670) is an individual psychiatric/mental health provider in Phoenix, Arizona, licensed in Arizona (225016) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174186670
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA SHOLEH WILLENCredential: PMHNP
Location Address2311 W ROYAL PALM RDPhoenix, AZ 85021-4916
Mailing Address7770 N Placita Sin MentirasTucson, AZ 85718-1286 · (503) 334-6481
Phone(602) 353-2340
Sole ProprietorNo
Enumeration DateApril 19, 2019
Last NPPES UpdateJuly 30, 20193 updates tracked since enumeration
✔ NPI 1174186670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in AZ · 225016
2311 W ROYAL PALM RD, Phoenix, AZ 85021
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Sholeh Kordeie

Other Identifiers 1

Medicaid553996AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

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 Sholeh Willen Pmhnp 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 85021 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LEONEL A URDANETA MD
Psychiatry & Neurology (Psychiatry)
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 808-2800
BRYAN DUBROCK LCSW-21781
Social Worker (Clinical)
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 269-5300
SOUTHWEST NETWORK, INC.
Community/Behavioral Health
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 269-5300
SOUTHWEST NETWORK, INC.
Community/Behavioral Health
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 269-5300
EMILY OZELLO PHARMD
Pharmacist
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (480) 867-3743
MOLLY BEA MILLSAPS NP
Nurse Practitioner (Psychiatric/Mental Health)
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 269-5300
HENRY BROWN D.O.
Psychiatry & Neurology (Psychiatry)
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 269-5300
JAMIE HERRERA LISAC
Counselor (Addiction (Substance Use Disorder))
2311 W ROYAL PALM RD
PHOENIX, AZ 85021
Maricopa County (602) 353-2340

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 Willen's NPI number?

The NPI number for Samantha Willen is 1174186670. It was assigned to this individual provider in the NPPES registry on April 19, 2019. The provider is also known as Samantha Sholeh Kordeie.

Where is Samantha Willen located?

Samantha Willen practices at 2311 W Royal Palm Rd, Phoenix, AZ 85021. The listed phone number is (602) 353-2340.

What is Samantha Willen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Willen enrolled in Medicare?

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

What insurance does Samantha Willen accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Samantha Willen 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 Willen was last updated on July 30, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.