SAMANTHA WATANAPONGSE POLLOCK A.P.R.N.
NPI 1366997306
Nurse Practitioner - Adult Health in Saint Louis, MO

Q: What is Samantha Pollock's NPI number?

The NPI number for Samantha Pollock is 1366997306. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Q: What is Samantha Pollock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Pollock was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 19, 2016PECOS EnrolledAccepts Medicare Assignment

12125 WOODCREST EXECUTIVE DR STE 110, SAINT LOUIS, MO 63141(314) 789-2486 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 9, 2025, Mar 27, 2023, Dec 8, 2020 and 1 more (4 updates tracked since 2016).

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About Samantha Watanapongse Pollock A.p.r.n. NPPES

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

SAMANTHA WATANAPONGSE POLLOCK A.P.R.N. (NPI 1366997306) is an individual adult health provider in Saint Louis, Missouri, licensed in Missouri (2020038833) and active in the NPI registry since August 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1366997306

Entity TypeIndividualFemale

Primary Taxonomy363LA2200X

Provider Legal NameSAMANTHA WATANAPONGSE POLLOCKCredential: A.P.R.N.

Location Address12125 WOODCREST EXECUTIVE DR STE 110Saint Louis, MO 63141-5009

Mailing Address12125 Woodcrest Executive Dr Ste 110Saint Louis, MO 63141-5009

Phone(314) 789-2486

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateAugust 19, 2016

Last NPPES UpdateJune 9, 20254 updates tracked since enumeration

NPPES CertifiedJune 9, 2025

✔ NPI 1366997306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LA2200X

License✔ Licensed in MO · 2020038833

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 0121921 (OK)

12125 WOODCREST EXECUTIVE DR STE 110, Saint Louis, MO 63141

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and more.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 Watanapongse Pollock A.p.r.n. 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 ID143509034

PECOS Enrollment IDI20210218002531

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.

Removal of tissue from wound, 20.0 sq cm or less 97597

This procedure involves the careful removal of damaged or infected tissue from a wound that's 20.0 square cm or less. It's done to promote healing and prevent further infection. The process is carried out under local anesthesia, ensuring minimal discomfort.

43 services13 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

30 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 4

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

KATHERINE LIN BOUVATTE MSW, LCSW

Social Worker (Clinical)

12125 WOODCREST EXECUTIVE DR STE 110
SAINT LOUIS, MO 63141

St. Louis County (314) 275-8599

UNITED WOUND CARE, LLC

Registered Nurse (Wound Care)

12125 WOODCREST EXECUTIVE DR STE 110
SAINT LOUIS, MO 63141

St. Louis County (314) 789-2486

MRS. CHLOE SCHECHTER

Social Worker (Clinical)

12125 WOODCREST EXECUTIVE DR STE 110
SAINT LOUIS, MO 63141

St. Louis County (314) 275-8599

MICHAEL GEORGE MSW, LCSW

Social Worker (Clinical)

12125 WOODCREST EXECUTIVE DR STE 110
SAINT LOUIS, MO 63141

St. Louis County (314) 275-8599

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 Pollock's NPI number?

The NPI number for Samantha Pollock is 1366997306. It was assigned to this individual provider in the NPPES registry on August 19, 2016.

Where is Samantha Pollock located?

Samantha Pollock practices at 12125 Woodcrest Executive Dr Ste 110, Saint Louis, MO 63141. The listed phone number is (314) 789-2486.

What is Samantha Pollock's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Samantha Pollock enrolled in Medicare?

Yes. Samantha Pollock 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 Pollock accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health and Ambetter from Sunflower Health Plan and 2 other insurers list Samantha Pollock 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.

When was this NPI record last updated?

The NPPES record for Samantha Pollock was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.