SAMANTHA ALYSSA PELOW APRN
NPI 1215200654
Nurse Practitioner in Hartford, CT
About Samantha Alyssa Pelow Aprn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA ALYSSA PELOW APRN (NPI 1215200654) is an individual nurse practitioner in Hartford, Connecticut, licensed in Connecticut (004957) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Hartford, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Accepted 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 Alyssa Pelow Aprn 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
4Medicare enrollment records show Samantha Pelow reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 601 clinicians in this Medicare group
Hartford, CT 06106
- Reassigned Medicare billing, Connecticut enrollment
- 1,921 clinicians in this Medicare group
Hartford, CT 06102
- Reassigned Medicare billing, Connecticut enrollment
- 1,333 clinicians in this Medicare group
Wethersfield, CT 06109
- Reassigned Medicare billing, Connecticut enrollment
- 747 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06106 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.
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.
HARTFORD, CT 06106
HARTFORD, CT 06106
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 Pelow's NPI number?
The NPI number for Samantha Pelow is 1215200654. It was assigned to this individual provider in the NPPES registry on February 15, 2012. The provider is also known as Samantha Alyssa Thomas Aprn.
Where is Samantha Pelow located?
Samantha Pelow practices at 282 Washington St, Hartford, CT 06106. The listed phone number is (860) 545-9520.
What is Samantha Pelow's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Pelow enrolled in Medicare?
Yes. Samantha Pelow 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 Pelow's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pelow reassigns Medicare benefits to 4 organizations: Connecticut Children's Specialty Group, Inc. (Hartford, CT), Hartford Healthcare Medical Group Specialists, PLLC (Hartford, CT), Hartford Hospital (Hartford, CT) and Hartford Healthcare Medical Group, Inc (Wethersfield, CT). 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 Pelow's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Pelow accept?
Health plans from Anthem Blue Cross and Blue Shield list Samantha Pelow 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 Pelow was last updated on September 9, 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 Alyssa Pelow, APRN · NPI 1215200654
Nurse Practitioner physician in Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since February 15, 2012.
## Identity
- **NPI:** 1215200654 (Entity type: Individual)
- **Enumerated:** February 15, 2012
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 004957 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 282 WASHINGTON ST, Hartford, CT 06106-3322
- **Phone:** (860) 545-9520 · **Fax:** (860) 545-9545
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Connecticut Children's Specialty Group, Inc. (NPI 1669448882, Hartford, CT); Hartford Healthcare Medical Group Specialists, PLLC (NPI 1023584216, Hartford, CT); Hartford Hospital (NPI 1407806391, Hartford, CT); Hartford Healthcare Medical Group, Inc (NPI 1043561301, Wethersfield, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 9, 2022
- **Other identifiers:** Medicaid 004049573 (CT)
---
Source: [NPI Profile](https://npiprofile.com/npi/1215200654) · Data from the CMS NPPES public registry.