SAMANTHA MARIE TANTILLO CRNP
NPI 1184268567
Nurse Practitioner - Acute Care in Lemoyne, PA
About Samantha Marie Tantillo Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MARIE TANTILLO CRNP (NPI 1184268567) is an individual acute care provider in Lemoyne, Pennsylvania, licensed in Pennsylvania (SP021058) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Samantha Marie Tantillo Crnp 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.
Medicare Billing Reassignments
3Medicare enrollment records show Samantha Tantillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lemoyne, PA 17043
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
Lemoyne, PA 17043
- Reassigned Medicare billing, Pennsylvania enrollment
- 994 clinicians in this Medicare group
Wormleysburg, PA 17043
- Reassigned Medicare billing, Pennsylvania enrollment
- 132 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 17043 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Tantillo's NPI number?
The NPI number for Samantha Tantillo is 1184268567. It was assigned to this individual provider in the NPPES registry on October 29, 2019. The provider is also known as Samantha Marie Horn Crnp.
Where is Samantha Tantillo located?
Samantha Tantillo practices at 3 Walnut St Ste 100, Lemoyne, PA 17043. The listed phone number is (717) 761-4141.
What is Samantha Tantillo's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Samantha Tantillo enrolled in Medicare?
Yes. Samantha Tantillo 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 Tantillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Tantillo reassigns Medicare benefits to 3 organizations: Pinnacle Health Medical Services (Lemoyne, PA), Penn State Health Medical Group, LLC (Lemoyne, PA) and Pinnacle Health Cardiovascular Institute Inc (Wormleysburg, PA). 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 Tantillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Tantillo was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Marie Tantillo, CRNP · NPI 1184268567
Acute Care physician in Lemoyne, Pennsylvania. Individual provider, active in the CMS NPPES registry since October 29, 2019.
## Identity
- **NPI:** 1184268567 (Entity type: Individual)
- **Enumerated:** October 29, 2019
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** SP021058 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3 WALNUT ST STE 100, Lemoyne, PA 17043-1168
- **Phone:** (717) 761-4141
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Pinnacle Health Medical Services (NPI 1013642586, Lemoyne, PA); Penn State Health Medical Group, LLC (NPI 1801433149, Lemoyne, PA); Pinnacle Health Cardiovascular Institute Inc (NPI 1952603342, Wormleysburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** June 6, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184268567) · Data from the CMS NPPES public registry.