MRS. SAMANTHA ANN FRANCES PETTY APRN CPN
NPI 1467954941
Nurse Practitioner - Psychiatric/Mental Health in Cleveland, OH
About Mrs. Samantha Ann Frances Petty Aprn Cpn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMANTHA ANN FRANCES PETTY APRN CPN (NPI 1467954941) is an individual psychiatric/mental health provider in Cleveland, Ohio, licensed in Ohio (022426) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and maintains a secondary practice location in Kirtland.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mrs. Samantha Ann Frances Petty Aprn Cpn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Ann Petty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Cleveland, OH 44106
- Reassigned Medicare billing, Ohio enrollment
- 3,958 clinicians in this Medicare group
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 44106 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
CLEVELAND, OH 44106
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 Ann Petty's NPI number?
The NPI number for Samantha Ann Petty is 1467954941. It was assigned to this individual provider in the NPPES registry on March 1, 2018.
Where is Samantha Ann Petty located?
Samantha Ann Petty practices at 10524 Euclid Ave, Cleveland, OH 44106. The listed phone number is (216) 844-3881.
What is Samantha Ann Petty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Samantha Ann Petty enrolled in Medicare?
Yes. Samantha Ann Petty is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Ann Petty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ann Petty reassigns Medicare benefits to University Hospitals Medical Group Inc (Cleveland, 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 Ann Petty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Ann Petty accept?
Health plans from Anthem Blue Cross and Blue Shield, Antidote Health Plan of Ohio, Inc., CareSource, MedMutual and Oscar Health Insurance and 1 other insurer list Samantha Ann Petty 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 Ann Petty was last updated on January 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Mrs. Samantha Ann Frances Petty, APRN CPN · NPI 1467954941
Psychiatric/Mental Health physician in Cleveland, Ohio. Individual provider, active in the CMS NPPES registry since March 1, 2018.
## Identity
- **NPI:** 1467954941 (Entity type: Individual)
- **Enumerated:** March 1, 2018
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 022426 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 10524 EUCLID AVE, Cleveland, OH 44106
- **Phone:** (216) 844-3881
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** University Hospitals Medical Group Inc (NPI 1669499414, Cleveland, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 14, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1467954941) · Data from the CMS NPPES public registry.