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SAMANTHA BROOKE MARTIN FNP
NPI 1205518776
Nurse Practitioner - Family in Peoria, AZ

Active since August 03, 2023PECOS EnrolledAccepts Medicare Assignment
21471 N LAKE PLEASANT PKWY STE 1710, PEORIA, AZ 85382(480) 677-8282(888) 316-1686 Get Directions Write a Review

NPPES record last updated: July 29, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Samantha Brooke Martin Fnp NPPES

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

SAMANTHA BROOKE MARTIN FNP (NPI 1205518776) is an individual family provider in Peoria, Arizona, licensed in Arizona (295882) and active in the NPI registry since August 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1205518776
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA BROOKE MARTINCredential: FNP
Location Address21471 N LAKE PLEASANT PKWY STE 1710Peoria, AZ 85382-0001
Mailing Address261 N Roosevelt AveChandler, AZ 85226-2617 · (480) 677-8282 · Fax (888) 316-1686
Phone(480) 677-8282
Fax(888) 316-1686
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 3, 2023
Last NPPES UpdateJuly 29, 2025
NPPES CertifiedJuly 29, 2025
✔ NPI 1205518776 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 AZ · 295882
21471 N LAKE PLEASANT PKWY STE 1710, Peoria, AZ 85382
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona 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

Samantha Brooke Martin Fnp 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 ID7719490168
PECOS Enrollment IDI20250630002852
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 Reassignment

Medicare enrollment records show Samantha Martin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Good Health Medical, PLLC
Same address
Family Medicine
21471 N LAKE PLEASANT PKWY STE 1710
Peoria, AZ 85382
  • Reassigned Medicare billing, Arizona enrollment
  • 321 clinicians in this Medicare group
NPI 1487367504 (480) 677-8282

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 85382 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 4

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

GOOD HEALTH MEDICAL, PLLC
Family Medicine
21471 N LAKE PLEASANT PKWY STE 1710
PEORIA, AZ 85382
Maricopa County (480) 677-8282
MR. MATTHEW THOMAS JONES DNP FNP-C
Nurse Practitioner (Family)
21471 N LAKE PLEASANT PKWY STE 1710
PEORIA, AZ 85382
Maricopa County (480) 677-8282
FARAH ATTAULLAH FNP-C
Nurse Practitioner (Family)
21471 N LAKE PLEASANT PKWY STE 1710
PEORIA, AZ 85382
Maricopa County (480) 677-8282
DR. JUSTIN WOODS MD
Family Medicine
21471 N LAKE PLEASANT PKWY STE 1710
PEORIA, AZ 85382
Maricopa County (480) 677-8282

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 Martin's NPI number?

The NPI number for Samantha Martin is 1205518776. It was assigned to this individual provider in the NPPES registry on August 3, 2023.

Where is Samantha Martin located?

Samantha Martin practices at 21471 N Lake Pleasant Pkwy Ste 1710, Peoria, AZ 85382. The listed phone number is (480) 677-8282.

What is Samantha Martin's specialty?

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

Is Samantha Martin enrolled in Medicare?

Yes. Samantha Martin 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 organization bills Medicare for Samantha Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Martin reassigns Medicare benefits to Good Health Medical, PLLC (Peoria, AZ). The 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 Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Martin accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. and 1 other insurer list Samantha Martin 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 Martin was last updated on July 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.