DR. SAMANTHA KAE PULLEN M.D.
NPI 1609017714
General Practice in Minneapolis, MN
About Dr. Samantha Kae Pullen M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMANTHA KAE PULLEN M.D. (NPI 1609017714) is an individual general practice provider in Minneapolis, Minnesota, licensed in Minnesota (51627) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Samantha Kae Pullen M.d. 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 Reassignments
2Medicare enrollment records show Samantha Pullen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55407
- Reassigned Medicare billing, Minnesota enrollment
- 3,733 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 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 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Abbott Northwestern Hospital
Acute Care Hospitals · Minneapolis, MNMedicare 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.
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.
MINNEAPOLIS, MN 55407
MINNEAPOLIS, MN 55407
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 Pullen's NPI number?
The NPI number for Samantha Pullen is 1609017714. It was assigned to this individual provider in the NPPES registry on March 19, 2009.
Where is Samantha Pullen located?
Samantha Pullen practices at 800 E 28th St, Minneapolis, MN 55407. The listed phone number is (612) 863-6766.
What is Samantha Pullen's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Samantha Pullen enrolled in Medicare?
Yes. Samantha Pullen 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 Pullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Pullen reassigns Medicare benefits to 2 organizations: Allina Health System (Minneapolis, MN) and Group Health, Inc. (Minneapolis, MN). 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 Pullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Pullen affiliated with any hospitals?
According to CMS data, Samantha Pullen is affiliated with Abbott Northwestern Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Pullen was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Dr. Samantha Kae Pullen, M.D. · NPI 1609017714
General Practice physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 19, 2009.
## Identity
- **NPI:** 1609017714 (Entity type: Individual)
- **Enumerated:** March 19, 2009
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 51627 (Minnesota)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 800 E 28TH ST, Minneapolis, MN 55407-3723
- **Phone:** (612) 863-6766
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Allina Health System (NPI 1053354985, Minneapolis, MN); Group Health, Inc. (NPI 1700932449, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** March 11, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1609017714) · Data from the CMS NPPES public registry.