SAMANTHA RENEE RELIFORD PMHNP
NPI 1205574902
Nurse Practitioner - Psychiatric/Mental Health in Peoria, IL

Q: What is Samantha Reliford's NPI number?

The NPI number for Samantha Reliford is 1205574902. It was assigned to this individual provider in the NPPES registry on May 23, 2022.

Q: What is Samantha Reliford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Reliford was last updated on August 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.

Active since May 23, 2022PECOS Enrolled

507 E ARMSTRONG AVE, PEORIA, IL 61603(309) 681-6960(309) 681-6965 Get Directions Write a Review

NPPES record last updated: August 29, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha Renee Reliford Pmhnp NPPES

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

SAMANTHA RENEE RELIFORD PMHNP (NPI 1205574902) is an individual psychiatric/mental health provider in Peoria, Illinois, licensed in Illinois (209025244) and active in the NPI registry since May 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205574902

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA RENEE RELIFORDCredential: PMHNP

Location Address507 E ARMSTRONG AVEPeoria, IL 61603-3201

Mailing Address507 E Armstrong AvePeoria, IL 61603-3201 · (309) 681-6960 · Fax (309) 681-6965

Phone(309) 681-6960

Fax(309) 681-6965

Sole ProprietorNo

Enumeration DateMay 23, 2022

Last NPPES UpdateAugust 29, 2024

NPPES CertifiedAugust 28, 2024

✔ NPI 1205574902 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 IL · 209025244

507 E ARMSTRONG AVE, Peoria, IL 61603

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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 Renee Reliford 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 61603 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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 20

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

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