MS. SAMANTHA MARIE HOUSE PMHNP, RNFA
NPI 1306329123
Nurse Practitioner - Psychiatric/Mental Health in Syracuse, NY

Active since September 07, 2018PECOS Enrolled
620 ERIE BLVD W, SYRACUSE, NY 13204(315) 472-7363(315) 472-0084 Get Directions Write a Review

NPPES record last updated: January 1, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jan 1, 2025, Jun 24, 2024, Feb 16, 2022 and 1 more (4 updates tracked since 2018).

About Ms. Samantha Marie House Pmhnp, Rnfa NPPES

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

MS. SAMANTHA MARIE HOUSE PMHNP, RNFA (NPI 1306329123) is an individual psychiatric/mental health provider in Syracuse, New York, licensed in New York (F405062-01) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306329123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SAMANTHA MARIE HOUSECredential: PMHNP, RNFA
Location Address620 ERIE BLVD WSyracuse, NY 13204-2445
Mailing Address620 Erie Blvd W Ste 302Syracuse, NY 13204-2463 · (315) 472-7363 · Fax (315) 472-0084
Fax(315) 472-0084
Sole ProprietorNo
Enumeration DateSeptember 7, 2018
Last NPPES UpdateJanuary 1, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 1, 2025
✔ NPI 1306329123 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 NY · F405062-01
Also ListedRegistered Nurse · Registered Nurse First AssistantTaxonomy 163WR0006X · License 532811 (NY)
620 ERIE BLVD W, Syracuse, NY 13204

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha Marie House Pmhnp, Rnfa 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 House reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Substance Abuse Rehabilitation Facility
847 JAMES ST
Syracuse, NY 13203
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group

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 13204 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Counselor (Mental Health)
620 ERIE BLVD W, SUITE 208
SYRACUSE, NY 13204
Social Worker (Clinical)
620 ERIE BLVD W
SYRACUSE, NY 13204
Counselor (Mental Health)
620 ERIE BLVD W
SYRACUSE, NY 13204
Registered Nurse (Community Health)
620 ERIE BLVD W
SYRACUSE, NY 13204
Psychologist
620 ERIE BLVD W
SYRACUSE, NY 13204
Nurse Practitioner (Psychiatric/Mental Health)
620 ERIE BLVD W, SUITE 204
SYRACUSE, NY 13204
Psychologist
620 ERIE BLVD W
SYRACUSE, NY 13204
Social Worker
620 ERIE BLVD W
SYRACUSE, NY 13204

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 House's NPI number?

The NPI number for Samantha House is 1306329123. It was assigned to this individual provider in the NPPES registry on September 7, 2018.

Where is Samantha House located?

Samantha House practices at 620 Erie Blvd W, Syracuse, NY 13204. The listed phone number is (315) 472-7363.

What is Samantha House's specialty?

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

Is Samantha House enrolled in Medicare?

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

Which organization bills Medicare for Samantha House's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha House reassigns Medicare benefits to Helio Health, Inc. (Syracuse, 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 House'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 House was last updated on January 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.