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SAMANTHA RUTH BOSSAK
NPI 1245985209
Nurse Practitioner - Family in Savannah, GA

Active since February 18, 2022PECOS Enrolled
4B SKIDAWAY VILLAGE WALK, SAVANNAH, GA 31411(912) 598-6322(912) 809-4995 Get Directions Write a Review

NPPES record last updated: February 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Ruth Bossak NPPES

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

SAMANTHA RUTH BOSSAK (NPI 1245985209) is an individual family provider in Savannah, Georgia, licensed in Georgia (RN209672) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1245985209
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA RUTH BOSSAK
Location Address4B SKIDAWAY VILLAGE WALKSavannah, GA 31411-3141
Mailing AddressPo Box 13686Savannah, GA 31416-0686 · (912) 600-1137 · Fax (912) 806-4995
Phone(912) 598-6322
Fax(912) 809-4995
Sole ProprietorNo
Enumeration DateFebruary 18, 2022
NPPES CertifiedFebruary 3, 2022
✔ NPI 1245985209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in GA · RN209672
4B SKIDAWAY VILLAGE WALK, Savannah, GA 31411
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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 Ruth Bossak 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 31411 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 2

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

MELANIE L BRAINARD NP
Nurse Practitioner (Family)
4B SKIDAWAY VILLAGE WALK
SAVANNAH, GA 31411
Chatham County (912) 598-6312
MR. THOMAS ALBERT BRANDON M.D.
Orthopaedic Surgery
4B SKIDAWAY VILLAGE WALK
SAVANNAH, GA 31411
Chatham County (912) 598-6312

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 Bossak's NPI number?

The NPI number for Samantha Bossak is 1245985209. It was assigned to this individual provider in the NPPES registry on February 18, 2022.

Where is Samantha Bossak located?

Samantha Bossak practices at 4B Skidaway Village Walk, Savannah, GA 31411. The listed phone number is (912) 598-6322.

What is Samantha Bossak's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Bossak enrolled in Medicare?

Yes. Samantha Bossak is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Bossak was last updated on February 18, 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.