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

Q: 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.

Q: 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.

Q: 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 6 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.

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: September 27, 2026.

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

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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.

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

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

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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 Lynn Donnelly 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 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))