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SAMANTHA KINGSLEY
NPI 1467167064
Nurse Anesthetist, Certified Registered in Columbus, OH

Active since January 18, 2023Accepts Medicare Assignment
5100 W BROAD ST, COLUMBUS, OH 43228(614) 544-1000 Get Directions Write a Review

NPPES record last updated: December 30, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Samantha Kingsley NPPES

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

SAMANTHA KINGSLEY (NPI 1467167064) is an individual nurse anesthetist, certified registered in Columbus, Ohio, licensed in Ohio (0020787) and active in the NPI registry since January 2023. She is affiliated with Doctors Hospital and is a graduate of Other (2023).

NPPES Registry Identity

NPI1467167064
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSAMANTHA KINGSLEY
Location Address5100 W BROAD STColumbus, OH 43228-1672
Mailing Address992 Windbourne StColumbus, OH 43230-5045 · (740) 359-8302
Phone(614) 544-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJanuary 18, 2023
Last NPPES UpdateDecember 30, 2023
NPPES CertifiedDecember 30, 2023
✔ NPI 1467167064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
License✔ Licensed in OH · 0020787
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered Nurse · Critical Care MedicineTaxonomy 163WC0200X · License RN.410539 (OH)
5100 W BROAD ST, Columbus, OH 43228
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Other Names 1

Former Name (1)Samantha Riel

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Kingsley is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264884071
PECOS Enrollment IDI20240117002985

Medicare Billing Reassignment

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

West Broad Anesthesia, Inc.
Same address
Specialist
5100 W. BROAD STREET
Columbus, OH 43228
  • Reassigned Medicare billing, Ohio enrollment
  • 26 clinicians in this Medicare group
NPI 1821097361 (614) 354-4354

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
19 services19 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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. ANDREW CAO CECOL DO
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
NIKOLE RENEE PATTON F.N.P.
Nurse Practitioner (Family)
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1810
DR. HEATHER MICHELLE CHILDERS D.O.
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
MEGAN TEE ATKINSON CNP
Nurse Practitioner (Family)
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-2058
DR. TIMOTHY JAMES BARLEY DO
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
SHELBY CORNELIUS
Student in an Organized Health Care Education/Training Program
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1976
DR. CECILIA GUTIERREZ HANSEN DO
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 544-1000
DR. KAITLIN MARIE BOWERS D.O.
Emergency Medicine
5100 W BROAD ST
COLUMBUS, OH 43228
Franklin County (614) 554-1000

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 Kingsley's NPI number?

The NPI number for Samantha Kingsley is 1467167064. It was assigned to this individual provider in the NPPES registry on January 18, 2023. The provider is also known as Samantha Riel.

Where is Samantha Kingsley located?

Samantha Kingsley practices at 5100 W Broad St, Columbus, OH 43228. The listed phone number is (614) 544-1000.

What is Samantha Kingsley's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samantha Kingsley enrolled in Medicare?

Yes. Samantha Kingsley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Samantha Kingsley's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kingsley reassigns Medicare benefits to West Broad Anesthesia, Inc. (Columbus, OH). 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 Kingsley's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Kingsley affiliated with any hospitals?

According to CMS data, Samantha Kingsley is affiliated with Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Kingsley was last updated on December 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.