KYMBERLY SAMOTIS NP
NPI 1356897409
Nurse Practitioner - Acute Care in Tawas City, MI

Active since August 29, 2016PECOS EnrolledAccepts Medicare Assignment
89.55/100
CMS Quality Rating
200 HEMLOCK ST, TAWAS CITY, MI 48763(989) 362-9351 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 23, 2023, Mar 29, 2021, Mar 8, 2019 and 2 more (5 updates tracked since 2016).

About Kymberly Samotis Np NPPES

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

KYMBERLY SAMOTIS NP (NPI 1356897409) is an individual acute care provider in Tawas City, Michigan, licensed in Michigan (4704253964) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS, is affiliated with Tawas St Joseph Hospital, and maintains a secondary practice location in Saginaw.

NPPES Registry Identity

NPI1356897409
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameKYMBERLY SAMOTISCredential: NP
Location Address200 HEMLOCK STTawas City, MI 48763-9237
Mailing Address1015 S Washington AveSaginaw, MI 48601-2556 · (989) 754-3000 · Fax (989) 754-3015
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateAugust 29, 2016
Last NPPES UpdateFebruary 23, 20235 updates tracked since enumeration
NPPES CertifiedFebruary 23, 2023
NPI 1356897409 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License Licensed in MI · 4704253964
200 HEMLOCK ST, Tawas City, MI 48763

Secondary Practice Location 1

Location 11015 S Washington AveSaginaw, MI 48601-2556 · Phone (989) 754-3000 · Fax (989) 754-3015

Accepted Insurance

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

Kymberly Samotis Np 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 ID7517249915
PECOS Enrollment IDI20170119001896
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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
154 services140 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
114 services110 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Tawas St Joseph Hospital

Acute Care Hospitals · Tawas City, MI
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number230100
Location200 HemlockTawas City, MI 48764 · Iosco County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48763 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
$84.74 typical visit price
range $54.34 – $166.68
Typical copayment $21.18 (range $13.58 – $41.67)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.09 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

89.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.45
Improvement Activities40
Cost100

Other Providers at the Same Location NPPES 16

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

Nurse Anesthetist, Certified Registered
200 HEMLOCK ST
TAWAS CITY, MI 48763
Pathology (Anatomic Pathology & Clinical Pathology)
200 HEMLOCK ST
TAWAS CITY, MI 48763
General Acute Care Hospital
200 HEMLOCK ST
TAWAS CITY, MI 48763
Pharmacist
200 HEMLOCK ST
TAWAS CITY, MI 48763
Emergency Medicine (Emergency Medical Services)
200 HEMLOCK ST
TAWAS CITY, MI 48763
Nurse Anesthetist, Certified Registered
200 HEMLOCK ST
TAWAS CITY, MI 48763
Pharmacist
200 HEMLOCK ST
TAWAS CITY, MI 48763
Physician Assistant
200 HEMLOCK ST
TAWAS CITY, MI 48763

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 Kymberly Samotis's NPI number?

The NPI number for Kymberly Samotis is 1356897409. It was assigned to this individual provider in the NPPES registry on August 29, 2016.

Where is Kymberly Samotis located?

Kymberly Samotis practices at 200 Hemlock St, Tawas City, MI 48763. The listed phone number is (989) 362-9351.

What is Kymberly Samotis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Kymberly Samotis enrolled in Medicare?

Yes. Kymberly Samotis 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.

What insurance does Kymberly Samotis accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Kymberly Samotis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kymberly Samotis affiliated with any hospitals?

According to CMS data, Kymberly Samotis is affiliated with Tawas St Joseph Hospital.

When was this NPI record last updated?

The NPPES record for Kymberly Samotis was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.