SAMANTHA WALDMAN FNP-C
NPI 1386588689
Nurse Practitioner - Family in Herndon, VA

Q: What is Samantha Waldman's NPI number?

The NPI number for Samantha Waldman is 1386588689. It was assigned to this individual provider in the NPPES registry on April 16, 2026.

Q: What is Samantha Waldman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Waldman was last updated on April 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 April 16, 2026PECOS Enrolled

381 ELDEN ST STE 1000, HERNDON, VA 20170(703) 481-1505 Get Directions Write a Review

NPPES record last updated: April 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Samantha Waldman Fnp-c NPPES

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

SAMANTHA WALDMAN FNP-C (NPI 1386588689) is an individual family provider in Herndon, Virginia, licensed in Virginia (0024196829) and active in the NPI registry since April 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1386588689

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA WALDMANCredential: FNP-C

Location Address381 ELDEN ST STE 1000Herndon, VA 20170-4842

Mailing Address888 N Quincy St Unit 1502Arlington, VA 22203-2076

Phone(703) 481-1505

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateApril 16, 2026

NPPES CertifiedFebruary 23, 2026

✔ NPI 1386588689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in VA · 0024196829

381 ELDEN ST STE 1000, Herndon, VA 20170

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Waldman Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID648737239

PECOS Enrollment IDI20260804001229

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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Waldman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Fairfax Family Practice Centers PC

Same address

Family Medicine

381 ELDEN ST STE 1000
Herndon, VA 20170

Reassigned Medicare billing, District of Columbia enrollment
66 clinicians in this Medicare group

NPI 1205944964 (703) 481-1505

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20170 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$113.72 typical visit price

range $21.40 – $158.88

Typical copayment $28.43 (range $5.35 – $39.72)

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 11

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

MRS. DIVIYALAXMI MURUGANANDAM PA

Physician Assistant (Medical)