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SAMANTHA JAYNE WILGUS DPM
NPI 1316793870
Student in an Organized Health Care Education/Training Program in Greeley, CO

Active since April 25, 2024PECOS Enrolled
1600 23RD AVE, GREELEY, CO 80634(970) 810-2847(970) 810-2774 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Jayne Wilgus Dpm NPPES

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

SAMANTHA JAYNE WILGUS DPM (NPI 1316793870) is an individual student in an organized health care education/training program in Greeley, Colorado, licensed in Colorado (PDT.000632) and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316793870
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameSAMANTHA JAYNE WILGUSCredential: DPM
Location Address1600 23RD AVEGreeley, CO 80634-6070
Mailing Address1600 23rd AveGreeley, CO 80634-6070 · (970) 810-2847 · Fax (970) 810-2774
Phone(970) 810-2847
Fax(970) 810-2774
Sole ProprietorYes
Enumeration DateApril 25, 2024
Last NPPES UpdateApril 29, 2025
NPPES CertifiedApril 29, 2025
✔ NPI 1316793870 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
License✔ Licensed in CO · PDT.000632
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.
1600 23RD AVE, Greeley, CO 80634
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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 Jayne Wilgus Dpm 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 20

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

DOROTHY MARIE SCHULTE FNP
Nurse Practitioner
1600 23RD AVE
GREELEY, CO 80634
Weld County (970) 356-2424
ELIZABETH ANNE MARIE POSKIE MD
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Weld County (970) 810-2424
JENNA MARIE HESSLER MD
Family Medicine
1600 23RD AVE
GREELEY, CO 80634
Weld County (406) 437-3002
DR. AYNSLEY QI-WEN HARTNEY MD
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Weld County (970) 810-2424
BETHANY PAJ TSIS THAWJ XIONG-KOON
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Weld County (303) 929-3768
STEPHEN ZERLANG
Family Medicine
1600 23RD AVE
GREELEY, CO 80634
Weld County (970) 346-2800
HEALTHONE CLINIC SERVICES - PEDIATRIC SPECIALTIES LLC
Pediatrics (Pediatric Cardiology)
1600 23RD AVE
GREELEY, CO 80634
Weld County (303) 860-9933
KACEY JANE KEMPER
Student in an Organized Health Care Education/Training Program
1600 23RD AVE
GREELEY, CO 80634
Weld County (970) 810-2424

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 Wilgus's NPI number?

The NPI number for Samantha Wilgus is 1316793870. It was assigned to this individual provider in the NPPES registry on April 25, 2024.

Where is Samantha Wilgus located?

Samantha Wilgus practices at 1600 23rd Ave, Greeley, CO 80634. The listed phone number is (970) 810-2847.

What is Samantha Wilgus'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 Wilgus enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Wilgus was last updated on April 29, 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.