SAMANTHA EDDY FNP-BC
NPI 1659007730
Nurse Practitioner - Family in Joliet, IL

Q: What is Samantha Eddy's NPI number?

The NPI number for Samantha Eddy is 1659007730. It was assigned to this individual provider in the NPPES registry on July 29, 2022.

Q: What is Samantha Eddy'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 Eddy was last updated on July 29, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 29, 2022PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

333 MADISON ST, JOLIET, IL 60435(815) 725-7133 Get Directions Write a Review

NPPES record last updated: July 29, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samantha Eddy Fnp-bc NPPES

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

SAMANTHA EDDY FNP-BC (NPI 1659007730) is an individual family provider in Joliet, Illinois, licensed in Illinois (209.025597) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1659007730

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA EDDYCredential: FNP-BC

Location Address333 MADISON STJoliet, IL 60435-8200

Mailing Address24738 S Elsie StChannahon, IL 60410-5065 · (630) 877-1352

Phone(815) 725-7133

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 29, 2022

NPPES CertifiedJuly 12, 2022

✔ NPI 1659007730 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 IL · 209.025597

333 MADISON ST, Joliet, IL 60435

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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 and accepts Medicare assignment

Samantha Eddy Fnp-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 ID4789068628

PECOS Enrollment IDI20220826001519

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 60435 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

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

94.69

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.

ALBERT C SONG MD

Emergency Medicine