SAMANTHA DILL CRNP
NPI 1629510623
Nurse Practitioner - Family in West Bloomfield, MI
About Samantha Dill Crnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA DILL CRNP (NPI 1629510623) is an individual family provider in West Bloomfield, Michigan, licensed in Michigan (4704284681) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
Secondary Practice Locations 4
Accepted 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 Dill Crnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Samantha Dill reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 946 clinicians in this Medicare group
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 1,030 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- 577 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48322 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
WEST BLOOMFIELD, MI 48322
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 Dill's NPI number?
The NPI number for Samantha Dill is 1629510623. It was assigned to this individual provider in the NPPES registry on November 8, 2016. The provider is also known as Samantha Ryan Judd Crnp.
Where is Samantha Dill located?
Samantha Dill practices at 6777 W Maple Rd, West Bloomfield, MI 48322. The listed phone number is (248) 661-6417.
What is Samantha Dill's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Dill enrolled in Medicare?
Yes. Samantha Dill is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samantha Dill's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dill reassigns Medicare benefits to 3 organizations: Beaumont Medical Group Hospital -Based Services (Royal Oak, MI), Beaumont Medical Group- Specialty Services (Royal Oak, MI) and Henry Ford Health System (Detroit, MI). 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 Dill's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Dill accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 2 other insurers list Samantha Dill 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 Dill was last updated on January 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Samantha Dill, CRNP · NPI 1629510623
Family physician in West Bloomfield, Michigan. Individual provider, active in the CMS NPPES registry since November 8, 2016.
## Identity
- **NPI:** 1629510623 (Entity type: Individual)
- **Enumerated:** November 8, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 4704284681 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 6777 W MAPLE RD, West Bloomfield, MI 48322-3013
- **Phone:** (248) 661-6417
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Beaumont Medical Group Hospital -Based Services (NPI 1427567858, Royal Oak, MI); Beaumont Medical Group- Specialty Services (NPI 1578072906, Royal Oak, MI); Henry Ford Health System (NPI 1104900455, Detroit, MI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 31, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1629510623) · Data from the CMS NPPES public registry.