Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA CAVANAUGH FNP-C
NPI 1316754500
Nurse Practitioner in Lebanon, PA

Active since December 12, 2024PECOS EnrolledAccepts Medicare Assignment
1700 S LINCOLN AVE, LEBANON, PA 17042(717) 272-6621 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2026, Jul 16, 2026, Dec 12, 2024 (3 updates tracked since 2024).

About Samantha Cavanaugh Fnp-c NPPES

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

SAMANTHA CAVANAUGH FNP-C (NPI 1316754500) is an individual nurse practitioner in Lebanon, Pennsylvania, licensed in Pennsylvania (SP030140) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1316754500
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA CAVANAUGHCredential: FNP-C
Location Address1700 S LINCOLN AVELebanon, PA 17042-7529
Mailing Address1700 S Lincoln AveLebanon, PA 17042-7529 · (717) 272-6621
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 12, 2024
Last NPPES UpdateAugust 11, 20263 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
NPI 1316754500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP030140
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1700 S LINCOLN AVE, Lebanon, PA 17042

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 Cavanaugh Fnp-c 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 ID345778890
PECOS Enrollment IDI20250110002354
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 17042 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 20

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

Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Dentist (General Practice)
1700 S LINCOLN AVE
LEBANON, PA 17042
Audiologist
1700 S LINCOLN AVE
LEBANON, PA 17042
Physician Assistant
1700 S LINCOLN AVE, LEBANON VAMC
LEBANON, PA 17042
Psychologist (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Social Worker (Clinical)
1700 S LINCOLN AVE
LEBANON, PA 17042
Internal Medicine (Cardiovascular Disease)
1700 S LINCOLN AVE
LEBANON, PA 17042
Social Worker
1700 S LINCOLN AVE
LEBANON, PA 17042

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 Cavanaugh's NPI number?

The NPI number for Samantha Cavanaugh is 1316754500. It was assigned to this individual provider in the NPPES registry on December 12, 2024.

Where is Samantha Cavanaugh located?

Samantha Cavanaugh practices at 1700 S Lincoln Ave, Lebanon, PA 17042. The listed phone number is (717) 272-6621.

What is Samantha Cavanaugh's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Cavanaugh enrolled in Medicare?

Yes. Samantha Cavanaugh is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Samantha Cavanaugh was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.