SAMANTHA PRIBULA
NPI 1487364667
Nurse Practitioner - Family in Copley, OH
About Samantha Pribula NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA PRIBULA (NPI 1487364667) is an individual family provider in Copley, Ohio, licensed in Ohio (APRN.CNP.0032563) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Summa Western Reserve Hospital, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
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)
Samantha Pribula is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Pribula reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
- Reassigned Medicare billing, Ohio enrollment
- 58 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.
Areas of Expertise CMS Part B claims 3
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Summa Western Reserve Hospital
Acute Care Hospitals · Cuyahoga Falls, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 44321 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 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
COPLEY, OH 44321
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 Pribula's NPI number?
The NPI number for Samantha Pribula is 1487364667. It was assigned to this individual provider in the NPPES registry on November 29, 2022.
Where is Samantha Pribula located?
Samantha Pribula practices at 155 Heritage Woods Dr, Copley, OH 44321. The listed phone number is (330) 666-0980.
What is Samantha Pribula's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Pribula enrolled in Medicare?
Yes. Samantha Pribula is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Pribula's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pribula reassigns Medicare benefits to Pain Management Group LLC (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 Pribula's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Pribula accept?
Health plans from CareSource list Samantha Pribula 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.
Is Samantha Pribula affiliated with any hospitals?
According to CMS data, Samantha Pribula is affiliated with Summa Western Reserve Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Pribula was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.
# Samantha Pribula · NPI 1487364667
Family physician in Copley, Ohio. Individual provider, active in the CMS NPPES registry since November 29, 2022.
## Identity
- **NPI:** 1487364667 (Entity type: Individual)
- **Enumerated:** November 29, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** APRN.CNP.0032563 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 155 HERITAGE WOODS DR, Copley, OH 44321-2791
- **Phone:** (330) 666-0980
## 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:** Pain Management Group LLC (OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** December 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1487364667) · Data from the CMS NPPES public registry.