MISS SAMANTHA DISANTIS APN
NPI 1629448493
Nurse Practitioner - Family in Mullica Hill, NJ
About Miss Samantha Disantis Apn NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MISS SAMANTHA DISANTIS APN (NPI 1629448493) is an individual family provider in Mullica Hill, New Jersey, licensed in New Jersey (26NJ00595500) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS, maintains 8 additional practice locations, and is a graduate of Other (2015).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 8
Other Identifiers 1
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
Miss Samantha Disantis Apn 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 Reassignment
Medicare enrollment records show Samantha Disantis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mullica Hill, NJ 08062
- Reassigned Medicare billing, New Jersey enrollment
- 2,074 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 3
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 08062 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare 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 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MULLICA HILL, NJ 08062
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 Disantis's NPI number?
The NPI number for Samantha Disantis is 1629448493. It was assigned to this individual provider in the NPPES registry on October 5, 2015.
Where is Samantha Disantis located?
Samantha Disantis practices at 141 Bridgeton Pike Unit B, Mullica Hill, NJ 08062. The listed phone number is (856) 291-8600.
What is Samantha Disantis's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Disantis enrolled in Medicare?
Yes. Samantha Disantis 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 organization bills Medicare for Samantha Disantis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Disantis reassigns Medicare benefits to Virtua Medical Group, PA (Mullica Hill, NJ). 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 Disantis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Disantis was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Miss Samantha Disantis, APN · NPI 1629448493
Family physician in Mullica Hill, New Jersey. Individual provider, active in the CMS NPPES registry since October 5, 2015.
## Identity
- **NPI:** 1629448493 (Entity type: Individual)
- **Enumerated:** October 5, 2015
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 26NJ00595500 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 141 BRIDGETON PIKE UNIT B, Mullica Hill, NJ 08062-2615
- **Phone:** (856) 291-8600 · **Fax:** (856) 291-8610
## 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:** Virtua Medical Group, PA (NPI 1336560432, Mullica Hill, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2015
## Record status
- **NPPES last updated:** November 13, 2024
- **Other identifiers:** Medicaid 0550566 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1629448493) · Data from the CMS NPPES public registry.