SAMANTHA KAY NOETH MMSN
NPI 1245706548
Nurse Practitioner - Psychiatric/Mental Health in Belleville, IL
About Samantha Kay Noeth Mmsn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA KAY NOETH MMSN (NPI 1245706548) is an individual psychiatric/mental health provider in Belleville, Illinois, licensed in Illinois (209.018361) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS, maintains a secondary practice location in Gillespie, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 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 (PECOS)
Samantha Kay Noeth Mmsn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Noeth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wood River, IL 62095
- Reassigned Medicare billing, Illinois enrollment
- 90 clinicians in this Medicare group
Gillespie, IL 62033
- Reassigned Medicare billing, Illinois enrollment
- 5 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 62223 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BELLEVILLE, IL 62223
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 Noeth's NPI number?
The NPI number for Samantha Noeth is 1245706548. It was assigned to this individual provider in the NPPES registry on October 15, 2018.
Where is Samantha Noeth located?
Samantha Noeth practices at 12 N 64th St, Belleville, IL 62223. The listed phone number is (618) 877-4420.
What is Samantha Noeth's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samantha Noeth enrolled in Medicare?
Yes. Samantha Noeth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samantha Noeth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Noeth reassigns Medicare benefits to 2 organizations: Chestnut Health Systems Inc. (Wood River, IL) and Macoupin Family Practice Centers LLP (Gillespie, IL). 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 Noeth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Noeth accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Medica, Oscar Health and UnitedHealthcare list Samantha Noeth 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 Noeth was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Samantha Kay Noeth, MMSN · NPI 1245706548
Psychiatric/Mental Health physician in Belleville, Illinois. Individual provider, active in the CMS NPPES registry since October 15, 2018.
## Identity
- **NPI:** 1245706548 (Entity type: Individual)
- **Enumerated:** October 15, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209.018361 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 N 64TH ST, Belleville, IL 62223-3809
- **Phone:** (618) 877-4420
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Chestnut Health Systems Inc. (NPI 1235941311, Wood River, IL); Macoupin Family Practice Centers LLP (NPI 1699899070, Gillespie, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** October 6, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1245706548) · Data from the CMS NPPES public registry.