SAMANTHA MARTIN AGACNP-BC
NPI 1396314308
Nurse Practitioner - Acute Care in Peoria, IL
About Samantha Martin Agacnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MARTIN AGACNP-BC (NPI 1396314308) is an individual acute care provider in Peoria, Illinois, licensed in Illinois (209022870) and active in the NPI registry since June 2021. She is enrolled in Medicare PECOS, is affiliated with Saint Francis Medical Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
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 Martin Agacnp-bc 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Saint Francis Medical Center
Acute Care Hospitals · Peoria, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61637 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Martin's NPI number?
The NPI number for Samantha Martin is 1396314308. It was assigned to this individual provider in the NPPES registry on June 23, 2021.
Where is Samantha Martin located?
Samantha Martin practices at Address: 530 NE Glen Oak Ave, Peoria, IL 61637. The listed phone number is (309) 655-2000.
What is Samantha Martin's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.
Is Samantha Martin enrolled in Medicare?
Yes. Samantha Martin 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.
Is Samantha Martin affiliated with any hospitals?
According to CMS data, Samantha Martin is affiliated with Saint Francis Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Martin was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 Martin, AGACNP-BC · NPI 1396314308
Acute Care physician in Peoria, Illinois. Individual provider, active in the CMS NPPES registry since June 23, 2021.
## Identity
- **NPI:** 1396314308 (Entity type: Individual)
- **Enumerated:** June 23, 2021
- **Primary specialty:** Nurse Practitioner - Acute Care · taxonomy 363LA2100X
- **State license:** 209022870 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** ADDRESS: 530 NE GLEN OAK AVE, Peoria, IL 61637-0001
- **Phone:** (309) 655-2000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1396314308) · Data from the CMS NPPES public registry.