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MS. SAMANTHA ROCHE PMHNP-BC
NPI 1609277268
Nurse Practitioner - Psychiatric/Mental Health in Amityville, NY

Active since September 12, 2014PECOS EnrolledAccepts Medicare Assignment
167 BROADWAY, AMITYVILLE, NY 11701(631) 317-9480(231) 216-7467 Get Directions Write a Review

NPPES record last updated: July 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 12, 2025, Mar 3, 2021, Nov 19, 2018 (3 updates tracked since 2018).

About Ms. Samantha Roche Pmhnp-bc NPPES

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

MS. SAMANTHA ROCHE PMHNP-BC (NPI 1609277268) is an individual psychiatric/mental health provider in Amityville, New York, licensed in New York (401987) and active in the NPI registry since September 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in East Islip, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1609277268
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMS. SAMANTHA ROCHECredential: PMHNP-BC
Location Address167 BROADWAYAmityville, NY 11701-2782
Mailing Address167 BroadwayAmityville, NY 11701-2782 · (631) 317-9480 · Fax (231) 216-7467
Phone(631) 317-9480
Fax(231) 216-7467
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateSeptember 12, 2014
Last NPPES UpdateJuly 25, 20253 updates tracked since enumeration
NPPES CertifiedJuly 25, 2025
✔ NPI 1609277268 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NY · 401987
167 BROADWAY, Amityville, NY 11701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1200 Carleton AveEast Islip, NY 11730-1222 · Phone (631) 317-9480

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

Ms. Samantha Roche Pmhnp-bc 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 ID7517258361
PECOS Enrollment IDI20160624001601
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11701 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

SOUTH SHORE COLLABORATIVE PSYCHIATRY NP PLLC
Nurse Practitioner (Psychiatric/Mental Health)
167 BROADWAY
AMITYVILLE, NY 11701
Suffolk County (631) 317-9480

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 Roche's NPI number?

The NPI number for Samantha Roche is 1609277268. It was assigned to this individual provider in the NPPES registry on September 12, 2014.

Where is Samantha Roche located?

Samantha Roche practices at 167 Broadway, Amityville, NY 11701. The listed phone number is (631) 317-9480.

What is Samantha Roche's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Roche enrolled in Medicare?

Yes. Samantha Roche 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.

When was this NPI record last updated?

The NPPES record for Samantha Roche was last updated on July 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.