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SAMANTHA GREALY DNP
NPI 1265927404
Nurse Practitioner in New York, NY

Active since June 29, 2018PECOS Enrolled
64 BLEECKER ST # 151, NEW YORK, NY 10012(302) 313-1584 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 12, 2025, Nov 14, 2022, Jul 18, 2018 and 1 more (4 updates tracked since 2018).

About Samantha Grealy Dnp NPPES

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

SAMANTHA GREALY DNP (NPI 1265927404) is an individual nurse practitioner in New York, New York, licensed in New York (343083) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265927404
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA GREALYCredential: DNP
Location Address64 BLEECKER ST # 151New York, NY 10012-2410
Mailing Address120 E 86th StNew York, NY 10028-1062 · (203) 520-8828
Phone(302) 313-1584
Sole ProprietorNo
Enumeration DateJune 29, 2018
Last NPPES UpdateMarch 12, 20254 updates tracked since enumeration
NPPES CertifiedMarch 12, 2025
✔ NPI 1265927404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NY · 343083
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
64 BLEECKER ST # 151, New York, NY 10012
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Secondary Practice Locations 2

Location 1120 E 86th StNew York, NY 10028 · Phone (212) 427-2000
Location 2632 Broadway Ph 12New York, NY 10012-2614 · Phone (800) 731-4254

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Grealy Dnp 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Grealy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Park Avenue Medical Professionals
4.2 mi
Specialist
120 E 86TH ST, 2ND FLOOR
New York, NY 10028
  • Reassigned Medicare billing, New York enrollment
  • 9 clinicians in this Medicare group
NPI 1023044161 (212) 427-2000

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 10012 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 20

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

STEVEN S WINIARSKI DO
Family Medicine
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (302) 313-1584
KATIE A LEMKE FNP-C, RN
Nurse Practitioner (Family)
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (302) 313-1584
DR. BRADLEY JON HAUPRICHT JR. M.D.
Family Medicine
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (313) 509-8683
JUDE FLEMING-VAGHJIANI MD
Internal Medicine
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (917) 810-3965
JOY SCHANK RN
Registered Nurse
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (800) 731-4254
ELIZABETH THATCHER WOODFORD ANP-BC
Nurse Practitioner (Adult Health)
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (917) 810-3975
JENNA B KATZMAN N.P.
Nurse Practitioner (Adult Health)
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (302) 313-1584
JADE SCHECHTER MD
Family Medicine
64 BLEECKER ST # 151
NEW YORK, NY 10012
New York County (302) 313-1584

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 Grealy's NPI number?

The NPI number for Samantha Grealy is 1265927404. It was assigned to this individual provider in the NPPES registry on June 29, 2018.

Where is Samantha Grealy located?

Samantha Grealy practices at 64 Bleecker St # 151, New York, NY 10012. The listed phone number is (302) 313-1584.

What is Samantha Grealy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Grealy enrolled in Medicare?

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

Which organization bills Medicare for Samantha Grealy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Grealy reassigns Medicare benefits to Park Avenue Medical Professionals (New York, NY). The 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 Grealy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Grealy was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.