SAMANTHA LARUE GREENWALD
NPI 1497425326
Nurse Anesthetist, Certified Registered in Bolingbrook, IL

Active since September 13, 2021PECOS Enrolled
126 DELAWARE DR, BOLINGBROOK, IL 60440(630) 991-8556 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2023, Sep 13, 2021 (2 updates tracked since 2021).

About Samantha Larue Greenwald NPPES

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

SAMANTHA LARUE GREENWALD (NPI 1497425326) is an individual nurse anesthetist, certified registered in Bolingbrook, Illinois, licensed in Illinois (144316) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1497425326
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSAMANTHA LARUE GREENWALD
Location Address126 DELAWARE DRBolingbrook, IL 60440-2368
Mailing Address126 Delaware DrBolingbrook, IL 60440-2368 · (630) 991-8556
Sole ProprietorNo
Enumeration DateSeptember 13, 2021
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
✔ NPI 1497425326 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 IL · 144316
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 NurseTaxonomy 163W00000X · License 041430338 (IL)
126 DELAWARE DR, Bolingbrook, IL 60440

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Larue Greenwald 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.

Medicare Billing Reassignment

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

Pain Medicine
2540 HANFORD LN
Aurora, IL 60502
  • Reassigned Medicare billing, Illinois enrollment
  • 101 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 2

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 exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
15 services15 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60440 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
$137.43 typical visit price
range $59.81 – $181.38
Typical copayment $34.35 (range $14.95 – $45.34)
Most-billed visit code 99204
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
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.

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 Greenwald's NPI number?

The NPI number for Samantha Greenwald is 1497425326. It was assigned to this individual provider in the NPPES registry on September 13, 2021.

Where is Samantha Greenwald located?

Samantha Greenwald practices at 126 Delaware Dr, Bolingbrook, IL 60440. The listed phone number is (630) 991-8556.

What is Samantha Greenwald's specialty?

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

Is Samantha Greenwald enrolled in Medicare?

Yes. Samantha Greenwald is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Greenwald's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Greenwald reassigns Medicare benefits to Anesthesia Associates, Ltd (Aurora, IL). 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 Greenwald's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Greenwald was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.