1. Home
  2. Directory
  3. North Carolina
  4. Greenville
  5. Nurse Practitioner
  6. NPI Profile

SAMANTHA DAWN PELTOLA
NPI 1457009839
Nurse Practitioner - Neonatal, Critical Care in Greenville, NC

Active since March 14, 2022PECOS Enrolled
2100 STANTONSBURG RD, GREENVILLE, NC 27834(252) 816-3714 Get Directions Write a Review

NPPES record last updated: June 16, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha Dawn Peltola NPPES

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

SAMANTHA DAWN PELTOLA (NPI 1457009839) is an individual neonatal, critical care provider in Greenville, North Carolina, licensed in North Carolina (5015872) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457009839
Entity TypeIndividualFemale
Primary Taxonomy363LN0005X
Provider Legal NameSAMANTHA DAWN PELTOLA
Location Address2100 STANTONSBURG RDGreenville, NC 27834-2818
Mailing Address1105 Ontario DrCorpus Christi, TX 78418-5430 · (317) 260-6170
Phone(252) 816-3714
Sole ProprietorYes
Enumeration DateMarch 14, 2022
Last NPPES UpdateJune 16, 2022
NPPES CertifiedJune 16, 2022
✔ NPI 1457009839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Neonatal, Critical CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LN0005X
License✔ Licensed in NC · 5015872
2100 STANTONSBURG RD, Greenville, NC 27834
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Dawn Hickey

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Dawn Peltola 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.

Medicare Billing Reassignments

2

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

Vidant Medical Group LLC
Same address
Multi-Specialty
2100 STANTONSBURG RD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,653 clinicians in this Medicare group
NPI 1477648731 (252) 847-2181
East Carolina University
0.2 mi
General Practice
600 MOYE BLVD
Greenville, NC 27834
  • Reassigned Medicare billing, North Carolina enrollment
  • 930 clinicians in this Medicare group
NPI 1689815284 (252) 744-4618

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 27834 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

DR. STEPHEN ERIC GREGG M.D.
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5262
DR. TYLER RICHARD FLEMING MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
MARY CLAIRE CRON PA-C
Physician Assistant
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 816-2273
JASMINE SHA'DEY HOLMES MD
Emergency Medicine (Sports Medicine)
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 847-4100
DR. SETH TYLER SCHIPINSKI DO
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-4611
BRIANNAE THEODORE
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-3229
SHELLEY ELIZABETH MATTHEWS
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (910) 298-3125
LEONARDO JOSE DIAZ GANDICA MD
Student in an Organized Health Care Education/Training Program
2100 STANTONSBURG RD
GREENVILLE, NC 27834
Pitt County (252) 744-5291

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 Peltola's NPI number?

The NPI number for Samantha Peltola is 1457009839. It was assigned to this individual provider in the NPPES registry on March 14, 2022. The provider is also known as Samantha Dawn Hickey.

Where is Samantha Peltola located?

Samantha Peltola practices at 2100 Stantonsburg Rd, Greenville, NC 27834. The listed phone number is (252) 816-3714.

What is Samantha Peltola's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, Critical Care, with taxonomy code 363LN0005X.

Is Samantha Peltola enrolled in Medicare?

Yes. Samantha Peltola is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Peltola's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Peltola reassigns Medicare benefits to 2 organizations: Vidant Medical Group LLC (Greenville, NC) and East Carolina University (Greenville, NC). 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 Peltola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Peltola accept?

Health plans from Cigna Healthcare list Samantha Peltola 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 Peltola was last updated on June 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.