SAMANTHA TEACH
NPI 1366047250
Nurse Practitioner - Psychiatric/Mental Health in Detroit, MI
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
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Teach reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Detroit, MI 48201
- Reassigned Medicare billing, Michigan enrollment
- 731 clinicians in this Medicare group
Detroit, MI 48238
- Reassigned Medicare billing, Michigan enrollment
- 50 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.
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.
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, MIPhysician 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.
Other Providers at the Same Location NPPES 9
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
DETROIT, MI 48201
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.
Which organizations bill Medicare for Samantha Teach's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Teach reassigns Medicare benefits to 2 organizations: University Physician Group (Detroit, MI) and Neighborhood Service Organization (Detroit, MI). Each 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 Teach's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Samantha Teach · NPI 1366047250
Psychiatric/Mental Health physician in Detroit, Michigan. Individual provider, active in the CMS NPPES registry since December 1, 2020.
## Identity
- **NPI:** 1366047250 (Entity type: Individual)
- **Enumerated:** December 1, 2020
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 2022064500 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3901 CHRYSLER DR STE 3B, Detroit, MI 48201-2167
- **Phone:** (313) 577-1396
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): University Physician Group (NPI 1447465661, Detroit, MI); Neighborhood Service Organization (NPI 1891825808, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** April 3, 2024
---
Source: [NPI Profile](https://npiprofile.com/npi/1366047250) · Data from the CMS NPPES public registry.