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SAMANTHA KAY NOETH MMSN
NPI 1245706548
Nurse Practitioner - Psychiatric/Mental Health in Belleville, IL

Active since October 15, 2018PECOS Enrolled
12 N 64TH ST, BELLEVILLE, IL 62223(618) 877-4420 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 6, 2025, Feb 20, 2025, Jun 24, 2020 and 1 more (4 updates tracked since 2018).

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

NPI1245706548
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA KAY NOETHCredential: MMSN
Location Address12 N 64TH STBelleville, IL 62223-3809
Mailing Address715 Broadway StGillespie, IL 62033-1166 · (217) 839-4491 · Fax (217) 839-5030
Phone(618) 877-4420
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 15, 2018
Last NPPES UpdateOctober 6, 20254 updates tracked since enumeration
NPPES CertifiedOctober 6, 2025
✔ NPI 1245706548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 209.018361
Also ListedNurse PractitionerTaxonomy 363L00000X · License 209018361 (IL)
12 N 64TH ST, Belleville, IL 62223
Open in Google Maps ↗

Secondary Practice Location 1

Location 1715 Broadway StGillespie, IL 62033-1166 · Phone (217) 839-4491 · Fax (217) 839-2689

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

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 Kay Noeth Mmsn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID446504872
PECOS Enrollment IDI20181121000244
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 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.

New Patient
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

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.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$47.51 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
3 suppliers26 claims26 services$24.47 avg. paid by Medicare
Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$25.21 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

ARLINDA LOUISE JONES-ABEKASIS LCPC
Counselor
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-0900
KELSEY STOTT
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (888) 924-3786
COURTNEY ANNE CANNES LCPC
Counselor (Professional)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-9530
MRS. MELANIE ANN WYLIE RN MSN CNS APN
Registered Nurse (Psychiatric/Mental Health, Adult)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-7145
MR. CHARLES JOSEPH FRANKE III L.C.S.W.
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 397-0900
RACHEL LEANN HODGE MSW
Social Worker (Clinical)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420
REBECCA LYNN CHOATE LPC
Counselor (Mental Health)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420
AMY CYRUS ANP-BC
Nurse Practitioner (Family)
12 N 64TH ST
BELLEVILLE, IL 62223
St. Clair County (618) 877-4420

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.

What insurance does Samantha Noeth accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State 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 9 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.