SAMANTHA A PAVLICK WHNP-BC, CNM, PMHNP
NPI 1295984367
Nurse Practitioner - Psychiatric/Mental Health in Bridgeville, PA

Q: What is Samantha Pavlick's NPI number?

The NPI number for Samantha Pavlick is 1295984367. It was assigned to this individual provider in the NPPES registry on September 15, 2008.

Q: What is Samantha Pavlick's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Pavlick was last updated on April 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since September 15, 2008PECOS EnrolledAccepts Medicare Assignment

200 OLD POND RD STE 107, BRIDGEVILLE, PA 15017(412) 319-7866(412) 914-8635 Get Directions Write a Review

NPPES record last updated: April 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 20, 2025, Sep 30, 2024, Dec 16, 2021 and 4 more (7 updates tracked since 2018).

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About Samantha A Pavlick Whnp-bc, Cnm, Pmhnp NPPES

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

SAMANTHA A PAVLICK WHNP-BC, CNM, PMHNP (NPI 1295984367) is an individual psychiatric/mental health provider in Bridgeville, Pennsylvania, licensed in Pennsylvania (SP021855) and active in the NPI registry since September 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Mc Murray, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1295984367

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSAMANTHA A PAVLICKCredential: WHNP-BC, CNM, PMHNP

Location Address200 OLD POND RD STE 107Bridgeville, PA 15017-1269

Mailing Address200 Old Pond Rd Ste 107Bridgeville, PA 15017-1269 · (412) 319-7866 · Fax (412) 914-8635

Phone(412) 319-7866

Fax(412) 914-8635

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 15, 2008

Last NPPES UpdateApril 23, 20257 updates tracked since enumeration

NPPES CertifiedApril 23, 2025

✔ NPI 1295984367 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in PA · SP021855

Also ListedNurse Practitioner · Obstetrics & GynecologyTaxonomy 363LX0001X · License SP010693 (PA)

200 OLD POND RD STE 107, Bridgeville, PA 15017

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Secondary Practice Location 1

Location 16000 Waterdam Plaza Dr Ste 270Mc Murray, PA 15317-5409 · Phone (412) 923-6070

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha A Pavlick Whnp-bc, Cnm, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6901953272

PECOS Enrollment IDI20120306000435

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 15017 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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 9

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

SHAWNA LEIGH WITT PMHNP-BC, DNP

Nurse Practitioner (Psychiatric/Mental Health)