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SAMANTHA DAWN HERMAN CPNP-PC
NPI 1508533951
Nurse Practitioner - Pediatrics in Troy, NY

Active since August 24, 2021PECOS Enrolled
258 HOOSICK ST STE 100, TROY, NY 12180(518) 272-0232(518) 274-4083 Get Directions Write a Review

NPPES record last updated: March 2, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 2, 2026, May 22, 2025, Dec 20, 2024 and 3 more (6 updates tracked since 2021).

About Samantha Dawn Herman Cpnp-pc NPPES

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

SAMANTHA DAWN HERMAN CPNP-PC (NPI 1508533951) is an individual pediatrics provider in Troy, New York, licensed in New York (383312) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and maintains 6 additional practice locations.

NPPES Registry Identity

NPI1508533951
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA DAWN HERMANCredential: CPNP-PC
Location Address258 HOOSICK ST STE 100Troy, NY 12180-2450
Mailing Address6 Wellness Way Ste 201Latham, NY 12110-2156 · (518) 782-3700 · Fax (518) 782-3799
Phone(518) 272-0232
Fax(518) 274-4083
Sole ProprietorNo
Enumeration DateAugust 24, 2021
Last NPPES UpdateMarch 2, 20266 updates tracked since enumeration
NPPES CertifiedMarch 2, 2026
✔ NPI 1508533951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in NY · 383312
258 HOOSICK ST STE 100, Troy, NY 12180
Open in Google Maps ↗

Other Names 1

Former Name (1)Samantha Dawn Achonye

Secondary Practice Locations 6

Location 11299 Route 9Gansevoort, NY 12831-1560 · Phone (518) 761-6961 · Fax (518) 761-1006
Location 228 S Western AveQueensbury, NY 12804-3323 · Phone (518) 798-6400 · Fax (518) 798-4105
Location 327 Hyland DrLake Luzerne, NY 12846-3923 · Phone (518) 824-2580 · Fax (518) 824-2579
Location 438 Larose StreetGlens Falls, NY 12801-3452 · Phone (518) 824-8181 · Fax (833) 819-0268
Location 53767 Main StWarrensburg, NY 12885-1890 · Phone (518) 623-2844 · Fax (518) 623-3416
Location 6100 Broad StGlens Falls, NY 12801-4349 · Phone (518) 792-2223 · Fax (518) 792-8231

Other Identifiers 1

Medicaid06777444NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Dawn Herman Cpnp-pc 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 Herman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Care Physicians, PLLC
3.5 mi
Internal Medicine
6 WELLNESS WAY STE 201
Latham, NY 12110
  • Reassigned Medicare billing, New York enrollment
  • 474 clinicians in this Medicare group
NPI 1922048370 (518) 782-3700

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 12180 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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

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

SHAUNA MARIE PARIS PNP-BC
Nurse Practitioner (Pediatrics)
258 HOOSICK ST STE 100
TROY, NY 12180
Rensselaer County (518) 272-0232

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 Herman's NPI number?

The NPI number for Samantha Herman is 1508533951. It was assigned to this individual provider in the NPPES registry on August 24, 2021. The provider is also known as Samantha Dawn Achonye.

Where is Samantha Herman located?

Samantha Herman practices at 258 Hoosick St Ste 100, Troy, NY 12180. The listed phone number is (518) 272-0232.

What is Samantha Herman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samantha Herman enrolled in Medicare?

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

Which organization bills Medicare for Samantha Herman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Herman reassigns Medicare benefits to Community Care Physicians, PLLC (Latham, NY). 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 Herman'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 Herman was last updated on March 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.