SAMANTHA TEACH
NPI 1366047250
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI

Active since December 01, 2020PECOS EnrolledAccepts Medicare Assignment
3901 CHRYSLER DR STE 3B, DETROIT, MI 48201(313) 577-1396 Get Directions Write a Review

NPPES record last updated: April 3, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 3, 2024, Nov 16, 2022, Dec 1, 2020 (3 updates tracked since 2020).

About Samantha Teach NPPES

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

SAMANTHA TEACH (NPI 1366047250) is an individual psychiatric/mental health provider in Detroit, Michigan, licensed in Michigan (2022064500) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS, is affiliated with Detroit Receiving Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1366047250
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA TEACH
Location Address3901 CHRYSLER DR STE 3BDetroit, MI 48201-2167
Mailing Address3901 Chrysler Dr Ste 3bDetroit, MI 48201-2167 · (616) 822-8999
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateDecember 1, 2020
Last NPPES UpdateApril 3, 20243 updates tracked since enumeration
NPPES CertifiedApril 3, 2024
NPI 1366047250 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 MI · 2022064500
Also ListedRegistered NurseTaxonomy 163W00000X · License 4704348939 (MI)
3901 CHRYSLER DR STE 3B, Detroit, MI 48201

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

Samantha Teach 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 ID1052782992
PECOS Enrollment IDI20230201000135
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 2

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.
22 services18 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
18 services17 patients

Hospital Affiliations CMS Care Compare

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

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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 8

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

Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Student in an Organized Health Care Education/Training Program
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Psychiatry & Neurology (Psychiatry)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Nurse Practitioner (Psychiatric/Mental Health)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201
Social Worker (Clinical)
3901 CHRYSLER DR STE 3B
DETROIT, MI 48201

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 Teach's NPI number?

The NPI number for Samantha Teach is 1366047250. It was assigned to this individual provider in the NPPES registry on December 1, 2020.

Where is Samantha Teach located?

Samantha Teach practices at 3901 Chrysler Dr Ste 3B, Detroit, MI 48201. The listed phone number is (313) 577-1396.

What is Samantha Teach's specialty?

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

Is Samantha Teach enrolled in Medicare?

Yes. Samantha Teach 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 Samantha Teach accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 4 other insurers list Samantha Teach 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 Samantha Teach affiliated with any hospitals?

According to CMS data, Samantha Teach is affiliated with Detroit Receiving Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Teach was last updated on April 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.