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MS. SAMANTHA RENY PMHNP
NPI 1417430554
Nurse Practitioner - Psychiatric/Mental Health in Portland, ME

Active since September 14, 2018PECOS EnrolledAccepts Medicare Assignment
895 WASHINGTON AVE, PORTLAND, ME 04103(207) 773-7811(207) 773-0663 Get Directions Write a Review

NPPES record last updated: August 5, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 5, 2026, Sep 14, 2018 (2 updates tracked since 2018).

About Ms. Samantha Reny Pmhnp NPPES

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

MS. SAMANTHA RENY PMHNP (NPI 1417430554) is an individual psychiatric/mental health provider in Portland, Maine, licensed in Maine (CNP181123) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1417430554
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SAMANTHA RENYCredential: PMHNP
Location Address895 WASHINGTON AVEPortland, ME 04103-2737
Mailing Address895 Washington AvePortland, ME 04103-2737 · (207) 773-7811 · Fax (207) 773-0663
Phone(207) 773-7811
Fax(207) 773-0663
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateSeptember 14, 2018
Last NPPES UpdateAugust 5, 20262 updates tracked since enumeration
NPPES CertifiedAugust 5, 2026
✔ NPI 1417430554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in ME · CNP181123
895 WASHINGTON AVE, Portland, ME 04103
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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 and accepts Medicare assignment

Ms. Samantha Reny Pmhnp 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 ID2769728070
PECOS Enrollment IDI20190108001349
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 Reassignments

2

Medicare enrollment records show Samantha Reny reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Spurwink Services Incorporated
2.1 mi
Mental Health (Including Community Mental Health Center)
62 ELM ST
Portland, ME 04101
  • Reassigned Medicare billing, Maine enrollment
  • 162 clinicians in this Medicare group
NPI 1760507297 (207) 773-7811
Central Maine Medical Center
29 mi
General Acute Care Hospital
300 MAIN ST
Lewiston, ME 04240
  • Reassigned Medicare billing, Maine enrollment
  • 920 clinicians in this Medicare group
NPI 1689653487 (207) 795-5646

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
100 services24 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
76 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 04103 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
$86.72 typical visit price
range $56.28 – $169.96
Typical copayment $21.68 (range $14.07 – $42.49)
Most-billed visit code 99203
Established Patient
$99.18 typical visit price
range $18.22 – $138.92
Typical copayment $24.79 (range $4.55 – $34.73)
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 9

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

DR. EDWARD BUMNO YOON MD
Family Medicine
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 791-3888
EMILY H MORRIS APRN-CNP
Nurse Practitioner (Family)
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 773-7811
AVERY RUTH GRACE LMSW-CC
Social Worker (Clinical)
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 535-2096
MACKENZIE HITCH LCSW
Social Worker
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 535-2096
MR. MICHAEL SHAFFER
Counselor (Mental Health)
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 871-1200
DR. JENNIFER BUPP MEKO MD
Emergency Medicine
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 791-3888
MS. ROSE MARY COYLE RPH
Pharmacist
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 766-3179
STEVEN COLE
Nurse Practitioner (Psychiatric/Mental Health)
895 WASHINGTON AVE
PORTLAND, ME 04103
Cumberland County (207) 535-2096

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 Reny's NPI number?

The NPI number for Samantha Reny is 1417430554. It was assigned to this individual provider in the NPPES registry on September 14, 2018.

Where is Samantha Reny located?

Samantha Reny practices at 895 Washington Ave, Portland, ME 04103. The listed phone number is (207) 773-7811.

What is Samantha Reny's specialty?

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

Is Samantha Reny enrolled in Medicare?

Yes. Samantha Reny 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 Reny's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Reny reassigns Medicare benefits to 2 organizations: Spurwink Services Incorporated (Portland, ME) and Central Maine Medical Center (Lewiston, ME). 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 Reny's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Reny was last updated on August 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.