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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMANTHA LYNN DONNELLY
NPI 1457145609
Nurse Practitioner - Psychiatric/Mental Health in Bronx, NY

Active since April 04, 2025PECOS Enrolled
1002 WESTCHESTER AVE, BRONX, NY 10459(718) 320-4466 Get Directions Write a Review

NPPES record last updated: September 23, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 23, 2026, Aug 26, 2026, Apr 4, 2025 (3 updates tracked since 2025).

About Samantha Lynn Donnelly NPPES

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

SAMANTHA LYNN DONNELLY (NPI 1457145609) is an individual psychiatric/mental health provider in Bronx, New York, licensed in New York (407662) and active in the NPI registry since April 2025. She is enrolled in Medicare PECOS, maintains 13 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1457145609
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA LYNN DONNELLY
Location Address1002 WESTCHESTER AVEBronx, NY 10459-3309
Mailing Address44 W 28th St Fl 5New York, NY 10001-4212
Phone(718) 320-4466
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateApril 4, 2025
Last NPPES UpdateSeptember 23, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2026
✔ NPI 1457145609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 407662
Also ListedRegistered NurseTaxonomy 163W00000X · License 326057 (NC), 969819 (NY)
1002 WESTCHESTER AVE, Bronx, NY 10459
Open in Google Maps ↗

Secondary Practice Locations 13

Location 197-02 Sutphin BlvdJamaica, NY 11435-9995 · Phone (718) 657-7088 · Fax (718) 657-7092
Location 2350 Grand St Rm 240New York, NY 10002-4629 · Phone (212) 634-7550 ext. 7556
Location 336-11 21st StreetLong Island City, NY 11106-4505 · Phone (718) 482-7772 · Fax (718) 482-9648
Location 4504 W 158th St Fl 5New York, NY 10032-7202 · Phone (917) 521-3130
Location 589-44 164th StreetJamaica, NY 11432-6103 · Phone (718) 523-2123 · Fax (718) 523-5833
Location 6511 West 157th StreetNew York, NY 10032-5058 · Phone (212) 781-7979 · Fax (212) 781-7963
Location 7255 East HoustonNew York, NY 10002-2301 · Phone (212) 477-1120 · Fax (212) 477-8957
Location 881 W 115th StNew York, NY 10026-3138 · Phone (212) 426-0088 · Fax (212) 426-8367
Location 92581 Atlantic AveBrooklyn, NY 11207-2412 · Phone (718) 495-6700 · Fax (646) 988-2840
Location 10999 Blake AveBrooklyn, NY 11208-3535 · Phone (718) 277-8303 · Fax (718) 277-4795
Location 111167 Nostrand AveBrooklyn, NY 11225-5417 · Phone (718) 778-0198 · Fax (718) 221-8169
Location 121880 Bathgate AvenueBronx, NY 10457-4501 · Phone (718) 294-5891 · Fax (718) 294-2468
Location 1394-98 Manhattan AvenueBrooklyn, NY 11206-2505 · Phone (718) 388-0390 · Fax (718) 486-5741

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Lynn Donnelly is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830659168
PECOS Enrollment IDI20260904003259
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 Reassignment

Medicare enrollment records show Samantha Donnelly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Healthcare Network Inc
Same address
Federally Qualified Health Center (FQHC)
1002 WESTCHESTER AVE
Bronx, NY 10459
  • Reassigned Medicare billing, New York enrollment
  • 112 clinicians in this Medicare group
NPI 1316014103 (718) 320-4466

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 10459 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 5

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

COMMUNITY HEALTHCARE NETWORK INC
Clinic/Center (Federally Qualified Health Center (FQHC))
1002 WESTCHESTER AVE
BRONX, NY 10459
Bronx County (718) 320-4466
ELEANOR PICKERING PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
1002 WESTCHESTER AVE
BRONX, NY 10459
Bronx County (718) 320-4466
DR. CHIR WEI STEPHANIE YUEN MD
Internal Medicine (Infectious Disease)
1002 WESTCHESTER AVE
BRONX, NY 10459
Bronx County (718) 320-4466
DR. SWETHA ALUGUBELLI DDS
Dentist (General Practice)
1002 WESTCHESTER AVE
BRONX, NY 10459
Bronx County (718) 320-4466
DR. RASHANIQUE DUPLESSIS
Dentist (General Practice)
1002 WESTCHESTER AVE
BRONX, NY 10459
Bronx County (718) 320-4466

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 Donnelly's NPI number?

The NPI number for Samantha Donnelly is 1457145609. It was assigned to this individual provider in the NPPES registry on April 4, 2025.

Where is Samantha Donnelly located?

Samantha Donnelly practices at 1002 Westchester Ave, Bronx, NY 10459. The listed phone number is (718) 320-4466.

What is Samantha Donnelly's specialty?

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

Is Samantha Donnelly enrolled in Medicare?

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

Which organization bills Medicare for Samantha Donnelly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Donnelly reassigns Medicare benefits to Community Healthcare Network Inc (Bronx, NY). The 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 Donnelly'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 Donnelly was last updated on September 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.