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SAMANTHA PERRY NP
NPI 1194335919
Nurse Practitioner - Family in Arlington, VA

Active since August 06, 2020PECOS EnrolledAccepts Medicare Assignment
1771 N PIERCE ST STE 300, ARLINGTON, VA 22209(888) 663-6331(415) 252-7176 Get Directions Write a Review

NPPES record last updated: March 14, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 14, 2025, Jun 28, 2024, Sep 11, 2020 and 1 more (4 updates tracked since 2020).

About Samantha Perry Np NPPES

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

SAMANTHA PERRY NP (NPI 1194335919) is an individual family provider in Arlington, Virginia, licensed in Maryland (AC003235) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, maintains a secondary practice location in Bethesda, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1194335919
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA PERRYCredential: NP
Location Address1771 N PIERCE ST STE 300Arlington, VA 22209-1828
Mailing Address1 Embarcadero Ctr Ste 1900San Francisco, CA 94111-3723 · (415) 658-6791
Phone(888) 663-6331
Fax(415) 252-7176
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 6, 2020
Last NPPES UpdateMarch 14, 20254 updates tracked since enumeration
NPPES CertifiedMarch 14, 2025
✔ NPI 1194335919 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 MD · AC003235
1771 N PIERCE ST STE 300, Arlington, VA 22209
Open in Google Maps ↗

Secondary Practice Location 1

Location 14701 Sangamore Rd Ste S207Bethesda, MD 20816-2529 · Phone (202) 684-7167

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 Perry 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 ID9830501998
PECOS Enrollment IDI20201214001889
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

2

Medicare enrollment records show Samantha Perry reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

One Medstar Primary Care LLC
3.4 mi
Family Medicine
1001 G ST NW, STE 200 EAST
Washington, DC 20001
  • Reassigned Medicare billing, District of Columbia enrollment
  • 162 clinicians in this Medicare group
NPI 1417571530 (202) 660-0005
Kelly Goodman Np & Associates PC
4.5 mi
Primary Care
4701 SANGAMORE ROAD, SUITE S207
Bethesda, MD 20816
  • Reassigned Medicare billing, District of Columbia enrollment
  • 11 clinicians in this Medicare group
NPI 1740503689 (202) 684-7167

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 22209 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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

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

JULIE-ANNE WROBLESKI MD
Family Medicine
1771 N PIERCE ST STE 300
ARLINGTON, VA 22209
Arlington County (888) 663-6331

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 Perry's NPI number?

The NPI number for Samantha Perry is 1194335919. It was assigned to this individual provider in the NPPES registry on August 6, 2020.

Where is Samantha Perry located?

Samantha Perry practices at 1771 N Pierce St Ste 300, Arlington, VA 22209. The listed phone number is (888) 663-6331.

What is Samantha Perry's specialty?

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

Is Samantha Perry enrolled in Medicare?

Yes. Samantha Perry 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 Perry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Perry reassigns Medicare benefits to 2 organizations: One Medstar Primary Care LLC (Washington, DC) and Kelly Goodman Np & Associates PC (Bethesda, MD). 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 Perry'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 Perry was last updated on March 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.