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SAMANTHA VULLO
NPI 1295420677
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 10, 2023PECOS Enrolled
2450 RIVERSIDE AVENUE, ROOM M136, EAST BUILDING, MINNEAPOLIS, MN 55454(612) 624-4477 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2023, Apr 10, 2023 (2 updates tracked since 2023).

About Samantha Vullo NPPES

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

SAMANTHA VULLO (NPI 1295420677) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295420677
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA VULLO
Location Address2450 RIVERSIDE AVENUE, ROOM M136, EAST BUILDINGMinneapolis, MN 55454-1450
Mailing Address2450 Riverside Avenue, Room M136, East BuildingMinneapolis, MN 55454
Phone(612) 624-4477
Sole ProprietorNo
Enumeration DateApril 10, 2023
Last NPPES UpdateOctober 25, 20232 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
✔ NPI 1295420677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2450 RIVERSIDE AVENUE, Minneapolis, MN 55454
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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 Vullo 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.

Other Providers at the Same Location NPPES 9

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

MARGARET MARIE MATTINGLY LICSW, LP
Social Worker
2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. JONATHAN RYHS STRUTT MD
Pediatrics (Pediatric Emergency Medicine)
2450 RIVERSIDE AVENUE, M653 EAST BUILDING
MINNEAPOLIS, MN 55454
Hennepin County (612) 625-6678
JUDY BERGSTROM JOHNSON OT
Occupational Therapist
2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DR. JOHANNAH M SCHEURER MD
Pediatrics (Neonatal-Perinatal Medicine)
2450 RIVERSIDE AVENUE, DIVISION OF NEONATOLOGY, EAST BUILDING, MB630
MINNEAPOLIS, MN 55454
Hennepin County (612) 626-0644
DR. JOSHUA WILLIAM MARVIN THEISEN MD-PHD
Pediatrics
2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
Hennepin County (612) 365-1000
DAWN BARTZ LARSON LICSW
Social Worker
2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
ANN MARIE INGWALSON LPCC
Counselor
2450 RIVERSIDE AVENUE
MINNEAPOLIS, MN 55454
Hennepin County (612) 672-6000
DANA MILLER LCGC, MS, BS
Genetic Counselor, MS
2450 RIVERSIDE AVENUE, EAST BUILDING, 12TH FLOOR
MINNEAPOLIS, MN 55454
Hennepin County (612) 273-0802

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 Vullo's NPI number?

The NPI number for Samantha Vullo is 1295420677. It was assigned to this individual provider in the NPPES registry on April 10, 2023.

Where is Samantha Vullo located?

Samantha Vullo practices at 2450 Riverside Avenue Room M136, East Building, Minneapolis, MN 55454. The listed phone number is (612) 624-4477.

What is Samantha Vullo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samantha Vullo enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Vullo was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.