SAMUEL EDWARD LITSEY
NPI 1215510441
Nurse Anesthetist, Certified Registered in Alpharetta, GA

Active since May 05, 2021Accepts Medicare Assignment
78.75/100
CMS Quality Rating
2655 NORTHWINDS PKWY, ALPHARETTA, GA 30009(770) 643-5619 Get Directions Write a Review

NPPES record last updated: August 24, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 24, 2022, May 5, 2021 (2 updates tracked since 2021).

About Samuel Edward Litsey NPPES

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

SAMUEL EDWARD LITSEY (NPI 1215510441) is an individual nurse anesthetist, certified registered in Alpharetta, Georgia, licensed in Alabama (1-146697) and active in the NPI registry since May 2021. He is affiliated with Wellstar West Georgia Medical Center and is a graduate of Other (2021).

NPPES Registry Identity

NPI1215510441
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameSAMUEL EDWARD LITSEY
Location Address2655 NORTHWINDS PKWYAlpharetta, GA 30009-2280
Mailing Address2655 Northwinds PkwyAlpharetta, GA 30009-2280 · (770) 643-5619
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 5, 2021
Last NPPES UpdateAugust 24, 20222 updates tracked since enumeration
NPPES CertifiedJune 2, 2022
✔ NPI 1215510441 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in AL · 1-146697
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License 1-146697 (AL)
2655 NORTHWINDS PKWY, Alpharetta, GA 30009

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

Samuel Edward Litsey 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 ID4082013586
PECOS Enrollment IDI20230405001983

Medicare Billing Reassignments

3

Medicare enrollment records show Samuel Litsey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
80 NEWNAN STATION DR, SUITE A
Newnan, GA 30265
  • Reassigned Medicare billing, Georgia enrollment
  • 729 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
100 FRIST CT
Columbus, GA 31909
  • Reassigned Medicare billing, Alabama enrollment
  • 128 clinicians in this Medicare group
Anesthesiology
2105 EAST SOUTH BLVD
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama enrollment
  • 214 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 2

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.

Anesthesia for extensive surgery on spine 00670
Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.
30 services30 patients
Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellstar West Georgia Medical Center

Acute Care Hospitals · Lagrange, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110016
Location1514 Vernon RoadLagrange, GA 30240 · Troup County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30009 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$70.85 typical visit price
range $18.22 – $140.40
Typical copayment $17.71 (range $4.55 – $35.10)
Most-billed visit code 99213
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.

78.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75
Improvement Activities40

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.

Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Psychologist (Clinical)
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009
Nurse Anesthetist, Certified Registered
2655 NORTHWINDS PKWY
ALPHARETTA, GA 30009

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 Samuel Litsey's NPI number?

The NPI number for Samuel Litsey is 1215510441. It was assigned to this individual provider in the NPPES registry on May 5, 2021.

Where is Samuel Litsey located?

Samuel Litsey practices at 2655 Northwinds Pkwy, Alpharetta, GA 30009. The listed phone number is (770) 643-5619.

What is Samuel Litsey's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samuel Litsey enrolled in Medicare?

Yes. Samuel Litsey 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 Samuel Litsey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Litsey reassigns Medicare benefits to 3 organizations: Sentry Anesthesia Management, LLC (Newnan, GA), Amsol Anesthetists Of Georgia, LLC (Columbus, GA) and Premier Anesthesia Of Montgomery PC (Montgomery, AL). 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 Samuel Litsey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Litsey accept?

Health plans from Oscar Health list Samuel Litsey 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.

Is Samuel Litsey affiliated with any hospitals?

According to CMS data, Samuel Litsey is affiliated with Wellstar West Georgia Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Litsey was last updated on August 24, 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.