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SAMANTHA JO PORTER
NPI 1497162507
Nurse Practitioner in Fargo, ND

Active since July 21, 2014PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: February 20, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Samantha Jo Porter NPPES

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

SAMANTHA JO PORTER (NPI 1497162507) is an individual nurse practitioner in Fargo, North Dakota, licensed in Utah (12535589-4405) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, is affiliated with Perham Health, and maintains a secondary practice location in Salt Lake City.

NPPES Registry Identity

NPI1497162507
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA JO PORTER
Location Address820 4TH ST NFargo, ND 58102-4539
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074
Phone(701) 234-6161
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJuly 21, 2014
Last NPPES UpdateFebruary 20, 2024
NPPES CertifiedFebruary 20, 2024
✔ NPI 1497162507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in UT · 12535589-4405
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
820 4TH ST N, Fargo, ND 58102
Open in Google Maps ↗

Secondary Practice Location 1

Location 1100 N Mario Capecchi DrSalt Lake City, UT 84113-1103 · Phone (801) 662-1000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Jo Porter 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 ID9335367291
PECOS Enrollment IDI20140906000010
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.

Areas of Expertise CMS Part B claims 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
61 services15 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
40 services37 patients
Biopsy and aspiration of bone marrow sample for diagnosis 38222
A bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
26 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Perham Health

Critical Access Hospitals · Perham, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241373
Location1000 Coney Street WestPerham, MN 56573 · Otter Tail County
Emergency services

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58102 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$98.29 typical visit price
range $18.11 – $137.65
Typical copayment $24.57 (range $4.52 – $34.41)
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 20

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

GERALD G GROSS MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
PAULINE HOLMAN MS, CGC
Genetic Counselor, MS
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-7634
AMIT PANWALKAR
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
HARITHA REDDY MOPURU MD
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
ISAAK NATHANIEL AILTS MD
Internal Medicine
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
JARRETT FAILING M.D.
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
LISA ANN BRAUN NP
Nurse Practitioner
820 4TH ST N
FARGO, ND 58102
Cass County (701) 234-6161
OLUWATOBI EZEKIEL ODETOLA MBBS
Internal Medicine (Hematology & Oncology)
820 4TH ST N
FARGO, ND 58102
Cass County (012) 346-1617

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 Porter's NPI number?

The NPI number for Samantha Porter is 1497162507. It was assigned to this individual provider in the NPPES registry on July 21, 2014.

Where is Samantha Porter located?

Samantha Porter practices at 820 4th St N, Fargo, ND 58102. The listed phone number is (701) 234-6161.

What is Samantha Porter's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Porter enrolled in Medicare?

Yes. Samantha Porter 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.

What insurance does Samantha Porter accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan and Security Health Plan list Samantha Porter 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 Porter affiliated with any hospitals?

According to CMS data, Samantha Porter is affiliated with Perham Health and Sanford Medical Center Fargo.

When was this NPI record last updated?

The NPPES record for Samantha Porter was last updated on February 20, 2024. 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.