SAMANTHA MARIE DEBERRY NP
NPI 1528651395
Nurse Practitioner in Scottsdale, AZ

Active since February 12, 2021PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259(480) 301-8000 Get Directions Write a Review

NPPES record last updated: November 18, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 18, 2025, Aug 9, 2024, May 24, 2023 and 1 more (4 updates tracked since 2021).

About Samantha Marie Deberry Np NPPES

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

SAMANTHA MARIE DEBERRY NP (NPI 1528651395) is an individual nurse practitioner in Scottsdale, Arizona, licensed in Arizona (290456) and active in the NPI registry since February 2021. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and maintains a secondary practice location in Goodyear.

NPPES Registry Identity

NPI1528651395
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA MARIE DEBERRYCredential: NP
Location Address13400 E SHEA BLVDScottsdale, AZ 85259-5499
Mailing Address13400 E Shea BlvdScottsdale, AZ 85259-5499 · (480) 301-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 12, 2021
Last NPPES UpdateNovember 18, 20254 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1528651395 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 AZ · 290456
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.
13400 E SHEA BLVD, Scottsdale, AZ 85259

Secondary Practice Location 1

Location 113555 W McDowell Rd Ste 105Goodyear, AZ 85395-2625 · Phone (520) 519-7700

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 Marie Deberry Np 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 ID5092105957
PECOS Enrollment IDI20211208000939, I20230512000721
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 Reassignments

4

Medicare enrollment records show Samantha Deberry reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
13400 E SHEA BLVD
Scottsdale, AZ 85259
  • Reassigned Medicare billing, Arizona enrollment
  • 1,792 clinicians in this Medicare group
Specialist
2625 N CRAYCROFT RD STE 100
Tucson, AZ 85712
  • Reassigned Medicare billing, Arizona enrollment
  • 136 clinicians in this Medicare group
Family Medicine
1044 N FRANCISCO AVE
Chicago, IL 60622
  • Reassigned Medicare billing, Illinois enrollment
  • 154 clinicians in this Medicare group
Specialist
2520 ELISHA AVE
Zion, IL 60099
  • Reassigned Medicare billing, Illinois enrollment
  • 253 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.

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.
364 services255 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.
121 services115 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85259 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Hematology & Oncology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Critical Care Medicine)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Internal Medicine (Pulmonary Disease)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Urology
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Nurse Anesthetist, Certified Registered
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259
Radiology (Diagnostic Radiology)
13400 E SHEA BLVD
SCOTTSDALE, AZ 85259

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 Deberry's NPI number?

The NPI number for Samantha Deberry is 1528651395. It was assigned to this individual provider in the NPPES registry on February 12, 2021.

Where is Samantha Deberry located?

Samantha Deberry practices at 13400 E Shea Blvd, Scottsdale, AZ 85259. The listed phone number is (480) 301-8000.

What is Samantha Deberry's specialty?

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

Is Samantha Deberry enrolled in Medicare?

Yes. Samantha Deberry 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 organizations bill Medicare for Samantha Deberry's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Deberry reassigns Medicare benefits to 4 organizations: Mayo Clinic Arizona (Scottsdale, AZ), Arizona Oncology Associates PC (Tucson, AZ), Humboldt Park Health (Chicago, IL) and City Of Hope Medical Group Of Illinois PLLC (Zion, IL). Each 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 Deberry's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Deberry accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Network Health list Samantha Deberry 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 Deberry affiliated with any hospitals?

According to CMS data, Samantha Deberry is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Deberry was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.