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SAMANTHA MCGRAW
NPI 1619775012
Nurse Practitioner - Family in Fond Du Lac, WI

Active since March 03, 2025PECOS Enrolled
430 E DIVISION ST, FOND DU LAC, WI 54935(920) 926-4200 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jan 12, 2026, Mar 3, 2025 (2 updates tracked since 2025).

About Samantha Mcgraw NPPES

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

SAMANTHA MCGRAW (NPI 1619775012) is an individual family provider in Fond Du Lac, Wisconsin, licensed in Wisconsin (16491-33) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1619775012
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA MCGRAW
Location Address430 E DIVISION STFond Du Lac, WI 54935-4560
Mailing Address548 Grove StOshkosh, WI 54901-4608 · (920) 385-8007
Phone(920) 926-4200
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 3, 2025
Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 12, 2026
✔ NPI 1619775012 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in WI · 16491-33
430 E DIVISION ST, Fond Du Lac, WI 54935
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Mcgraw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527548999
PECOS Enrollment IDI20260214000522
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 Mcgraw reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Agnesian Healthcare, Inc
Same address
General Acute Care Hospital
430 E DIVISION ST
Fond Du Lac, WI 54935
  • Reassigned Medicare billing, Wisconsin enrollment
  • 606 clinicians in this Medicare group
NPI 1346228541 (920) 929-2300

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 54935 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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 20

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

CLAIRE ELIZABETH KRIZMAN
Counselor (Mental Health)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (310) 880-8864
MICHAEL FABER PHARMD
Pharmacist (Pharmacotherapy)
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-4664
JACQUELINE S LEMMENES CST
Specialist/Technologist, Other
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
ANN M CAPPELLARI M.D.
Emergency Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 929-2300
KERRY A WINGET SLP
Speech-Language Pathologist
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 923-5378
BALVINDAR S SAREEN MD
Internal Medicine
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (315) 637-7800
CHRISTY CHANG APNP
Nurse Practitioner
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-8200
MARY LAUSCH ARRIGONI CRNA
Nurse Anesthetist, Certified Registered
430 E DIVISION ST
FOND DU LAC, WI 54935
Fond Du Lac County (920) 926-5942

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 Mcgraw's NPI number?

The NPI number for Samantha Mcgraw is 1619775012. It was assigned to this individual provider in the NPPES registry on March 3, 2025.

Where is Samantha Mcgraw located?

Samantha Mcgraw practices at 430 E Division St, Fond Du Lac, WI 54935. The listed phone number is (920) 926-4200.

What is Samantha Mcgraw's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Mcgraw enrolled in Medicare?

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

Which organization bills Medicare for Samantha Mcgraw's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mcgraw reassigns Medicare benefits to Agnesian Healthcare, Inc (Fond Du Lac, WI). 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 Mcgraw's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Mcgraw accept?

Health plans from Anthem Blue Cross and Blue Shield list Samantha Mcgraw 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 Mcgraw was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.