SAMANTHA LYNN KERSH FNP, B-C
NPI 1558031682
Nurse Practitioner - Family in Champaign, IL
About Samantha Lynn Kersh Fnp, B-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA LYNN KERSH FNP, B-C (NPI 1558031682) is an individual family provider in Champaign, Illinois, licensed in Illinois (209022459) and active in the NPI registry since September 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted 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 Lynn Kersh Fnp, B-c 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 61822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Kersh's NPI number?
The NPI number for Samantha Kersh is 1558031682. It was assigned to this individual provider in the NPPES registry on September 20, 2021.
Where is Samantha Kersh located?
Samantha Kersh practices at 911 Baytowne Dr Spc 9, Champaign, IL 61822. The listed phone number is (217) 269-6265.
What is Samantha Kersh's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Kersh enrolled in Medicare?
Yes. Samantha Kersh 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 Kersh accept?
Health plans from Providence Health Plan list Samantha Kersh 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 Kersh was last updated on September 20, 2021. 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 Lynn Kersh, FNP, B-C · NPI 1558031682
Family physician in Champaign, Illinois. Individual provider, active in the CMS NPPES registry since September 20, 2021.
## Identity
- **NPI:** 1558031682 (Entity type: Individual)
- **Enumerated:** September 20, 2021
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209022459 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 911 BAYTOWNE DR SPC 9, Champaign, IL 61822-7994
- **Phone:** (217) 269-6265
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** September 20, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1558031682) · Data from the CMS NPPES public registry.