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

Q: 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.

Q: 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.

Q: 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.

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: August 30, 2026.

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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

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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

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 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.

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