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

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: October 18, 2026.

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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Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignment

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

Mercy Hospital Lincoln
Same address
Critical Access
1000 E CHERRY ST
Troy, MO 63379
  • Reassigned Medicare billing, Missouri enrollment
  • 229 clinicians in this Medicare group
NPI 1962808733 (636) 528-8551

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 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.

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)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3276
MRS. HEATHER S DIXON FNP
Nurse Practitioner (Family)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3495
JOHN FULLER MD
Emergency Medicine
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-8551
DR. ZACHARY TAYLOR BROWN PHARMD
Pharmacist
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3365
JULIE IRWIN FNP-BC
Nurse Practitioner (Family)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3221
MALYNDA CHRISTINE LANE FNP-BC
Nurse Practitioner (Adult Health)
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3486
MERCY HOSPITAL LINCOLN
Pharmacy
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3365
TIMOTHY MCCULLOUGH MD
Emergency Medicine
1000 E CHERRY ST
TROY, MO 63379
Lincoln County (636) 528-3221

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 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.

Where is Samantha Elledge located?

Samantha Elledge practices at 1000 E Cherry St, Troy, MO 63379. The listed phone number is (636) 528-8551.

What is Samantha Elledge's specialty?

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

Is Samantha Elledge enrolled in Medicare?

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

Which organization bills Medicare for Samantha Elledge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Elledge reassigns Medicare benefits to Mercy Hospital Lincoln (Troy, MO). 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 Elledge'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 Elledge was last updated on April 25, 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.