SAMANTHA MAZUREK-PETTERS
NPI 1447048368
Student in an Organized Health Care Education/Training Program in Grand Forks, ND

Q: What is Samantha Mazurek-petters's NPI number?

The NPI number for Samantha Mazurek-petters is 1447048368. It was assigned to this individual provider in the NPPES registry on April 29, 2025. The provider is also known as Samantha Mazurek.

Q: What is Samantha Mazurek-petters's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since April 29, 2025PECOS Enrolled

725 HAMLINE ST, GRAND FORKS, ND 58203(701) 780-6810 Get Directions Write a Review

NPPES record last updated: April 29, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Samantha Mazurek-petters NPPES

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

SAMANTHA MAZUREK-PETTERS (NPI 1447048368) is an individual student in an organized health care education/training program in Grand Forks, North Dakota and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447048368

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameSAMANTHA MAZUREK-PETTERS

Location Address725 HAMLINE STGrand Forks, ND 58203-2819

Mailing Address725 Hamline StGrand Forks, ND 58203-2819

Phone(701) 780-6810

Sole ProprietorNo

Enumeration DateApril 29, 2025

NPPES CertifiedApril 29, 2025

✔ NPI 1447048368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

725 HAMLINE ST, Grand Forks, ND 58203

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Other Names 1

Professional Name (2)Samantha Mazurek

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Mazurek-petters is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

TAMIM KHROMACHOU MD

Family Medicine