SAMUEL AARON HISE MD
NPI 1669264222
Student in an Organized Health Care Education/Training Program in Duluth, MN
About Samuel Aaron Hise Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL AARON HISE MD (NPI 1669264222) is an individual student in an organized health care education/training program in Duluth, Minnesota and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Aaron Hise Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
DULUTH, MN 55805
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 Samuel Hise's NPI number?
The NPI number for Samuel Hise is 1669264222. It was assigned to this individual provider in the NPPES registry on May 20, 2025.
Where is Samuel Hise located?
Samuel Hise practices at 330 N 8th Ave E, Duluth, MN 55805. The listed phone number is (218) 726-1112.
What is Samuel Hise's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Samuel Hise enrolled in Medicare?
Yes. Samuel Hise is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samuel Hise was last updated on May 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Samuel Aaron Hise, MD · NPI 1669264222
Student in an Organized Health Care Education/Training Program provider in Duluth, Minnesota. Individual provider, active in the CMS NPPES registry since May 20, 2025.
## Identity
- **NPI:** 1669264222 (Entity type: Individual)
- **Enumerated:** May 20, 2025
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 330 N 8TH AVE E, Duluth, MN 55805-2024
- **Phone:** (218) 726-1112
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 20, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1669264222) · Data from the CMS NPPES public registry.