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

Q: 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.

Q: What is Samantha Mcgraw's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Mcgraw was last updated on January 12, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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: July 19, 2026.

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

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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

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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.

MARY LAUSCH ARRIGONI CRNA

Nurse Anesthetist, Certified Registered