SAMANTHA MARIE TANTILLO CRNP
NPI 1184268567
Nurse Practitioner - Acute Care in Lemoyne, PA

Active since October 29, 2019PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
3 WALNUT ST STE 100, LEMOYNE, PA 17043(717) 761-4141 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 6, 2022, Nov 1, 2019 (2 updates tracked since 2019).

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, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1184268567
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameSAMANTHA MARIE TANTILLOCredential: CRNP
Location Address3 WALNUT ST STE 100Lemoyne, PA 17043-1168
Mailing Address3 Walnut St Ste 100Lemoyne, PA 17043-1168 · (717) 761-4141 · Fax (717) 761-1456
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 29, 2019
Last NPPES UpdateJune 6, 20222 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
NPI 1184268567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in PA · SP021058
3 WALNUT ST STE 100, Lemoyne, PA 17043

Other Names 1

Former Name (1)Samantha Marie Horn Crnp

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

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.

PECOS PAC ID446685994
PECOS Enrollment IDI20200110002278
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.

Hospital Affiliations CMS Care Compare

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

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.

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.

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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier12 claims12 services$18.51 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 14

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

Surgery
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Nurse Practitioner
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Surgery
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Surgery
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Physician Assistant
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Nurse Practitioner
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Nurse Practitioner
3 WALNUT ST STE 100
LEMOYNE, PA 17043
Nurse Practitioner (Family)
3 WALNUT ST STE 100
LEMOYNE, PA 17043

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.

Is Samantha Tantillo affiliated with any hospitals?

According to CMS data, Samantha Tantillo is affiliated with Upmc Pinnacle Hospitals.

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.