SAMANTHA PATRICIA DALESSIO RN
NPI 1508529504
Nurse Practitioner - Family in Phoenix, AZ
About Samantha Patricia Dalessio Rn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA PATRICIA DALESSIO RN (NPI 1508529504) is an individual family provider in Phoenix, Arizona, licensed in Arizona (270749) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 Patricia Dalessio Rn 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.
Medicare Billing Reassignment
Medicare enrollment records show Samantha Dalessio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Gilbert, AZ 85234
- Reassigned Medicare billing, Arizona enrollment
- 1,081 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 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Dalessio's NPI number?
The NPI number for Samantha Dalessio is 1508529504. It was assigned to this individual provider in the NPPES registry on October 16, 2021.
Where is Samantha Dalessio located?
Samantha Dalessio practices at 6410 W Mark Ln, Phoenix, AZ 85083. The listed phone number is (623) 249-9096.
What is Samantha Dalessio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Dalessio enrolled in Medicare?
Yes. Samantha Dalessio 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 Dalessio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dalessio reassigns Medicare benefits to Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ). 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 Dalessio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Dalessio accept?
Health plans from Blue Cross Blue Shield of Arizona list Samantha Dalessio 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 Dalessio was last updated on February 28, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Samantha Patricia Dalessio, RN · NPI 1508529504
Family physician in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since October 16, 2021.
## Identity
- **NPI:** 1508529504 (Entity type: Individual)
- **Enumerated:** October 16, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 270749 (Arizona)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 6410 W MARK LN, Phoenix, AZ 85083-7678
- **Phone:** (623) 249-9096
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Hospital Based Physicians Arizona LLC (NPI 1124374822, Gilbert, AZ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** February 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1508529504) · Data from the CMS NPPES public registry.