SAMANTHA ELLEDGE MSN, AGPCNP
NPI 1285378349
Nurse Practitioner - Primary Care in Troy, MO

Q: What is Samantha Elledge's NPI number?

The NPI number for Samantha Elledge is 1285378349. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Q: What is Samantha Elledge's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Elledge was last updated on April 25, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 25, 2022PECOS Enrolled

1000 E CHERRY ST, TROY, MO 63379(636) 528-8551 Get Directions Write a Review

NPPES record last updated: April 25, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samantha Elledge Msn, Agpcnp NPPES

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

SAMANTHA ELLEDGE MSN, AGPCNP (NPI 1285378349) is an individual primary care provider in Troy, Missouri, licensed in Missouri (2021030042) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285378349

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameSAMANTHA ELLEDGECredential: MSN, AGPCNP

Location Address1000 E CHERRY STTroy, MO 63379-1513

Mailing Address1000 E Cherry StTroy, MO 63379-1513 · (636) 528-8551

Phone(636) 528-8551

Sole ProprietorNo

Enumeration DateApril 25, 2022

NPPES CertifiedApril 25, 2022

✔ NPI 1285378349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in MO · 2021030042

1000 E CHERRY ST, Troy, MO 63379

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.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 Elledge Msn, Agpcnp 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 63379 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

$81.64 typical visit price

range $52.28 – $161.24

Typical copayment $20.41 (range $13.07 – $40.31)

Most-billed visit code 99203

Established Patient

$93.24 typical visit price

range $16.30 – $131.05

Typical copayment $23.31 (range $4.07 – $32.76)

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.

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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.

DR. JENNIFER LABUNDY PALAGIRI M.D.

Internal Medicine (Gastroenterology)