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SAMANTHA ANN BANEY APRN
NPI 1679128730
Nurse Practitioner - Psychiatric/Mental Health in Rockford, IL

Active since August 06, 2019PECOS EnrolledAccepts Medicare Assignment
2313 N ROCKTON AVE, ROCKFORD, IL 61103(815) 964-2200(815) 965-7722 Get Directions Write a Review

NPPES record last updated: January 10, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 10, 2026, Sep 3, 2025, Aug 6, 2019 (3 updates tracked since 2019).

About Samantha Ann Baney Aprn NPPES

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

SAMANTHA ANN BANEY APRN (NPI 1679128730) is an individual psychiatric/mental health provider in Rockford, Illinois, licensed in Illinois (277002340) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Uw Health, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1679128730
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA ANN BANEYCredential: APRN
Location Address2313 N ROCKTON AVERockford, IL 61103-3618
Mailing Address15355 E Dees DrMonroe Center, IL 61052-9747 · (815) 543-0545
Phone(815) 964-2200
Fax(815) 965-7722
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 6, 2019
Last NPPES UpdateJanuary 10, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 10, 2026
✔ NPI 1679128730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in IL · 277002340
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 209.019754 (IL)
2313 N ROCKTON AVE, Rockford, IL 61103
Open in Google Maps ↗

Secondary Practice Locations 4

Location 17117 Crimson Ridge Dr Ste 3Rockford, IL 61107-6213 · Phone (815) 316-8700 · Fax (310) 356-4935
Location 21311 Parkview AveRockford, IL 61107-1899 · Phone (815) 399-8832
Location 315355 E Dees DrMonroe Center, IL 61052-9747 · Phone (815) 543-0545
Location 46131 Park Ridge RdLoves Park, IL 61111-4029 · Phone (815) 543-0545

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Samantha Ann Baney Aprn 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 ID3971831983
PECOS Enrollment IDI20190828001627
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Baney reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Jet Healthcare LLC
3.4 mi
Nurse Practitioner
5979 NEBESHONE LN
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 30 clinicians in this Medicare group
NPI 1265052401 (815) 977-4580
Mindplexity Psychiatric Services, PLLC
6.2 mi
Psychiatric/Mental Health
555 S PERRYVILLE RD STE 130
Rockford, IL 61108
  • Reassigned Medicare billing, Illinois enrollment
  • 7 clinicians in this Medicare group
NPI 1437808433 (815) 995-2201

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 7

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
1,047 services171 patients
Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
278 services63 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
206 services152 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
99 services49 patients
Residence visit for established patient with low level of medical decision making, per day, if using time, at least 30 minutes 99348
An established patient home visit is a 25-minute appointment where a healthcare provider visits you at your home. This service is for patients who have previously been seen by the provider. It includes a check-up and discussion about your health concerns.
87 services33 patients
Nursing facility discharge management, more than 30 minutes 99316
Nursing facility discharge management over 30 minutes is a comprehensive process where a healthcare team prepares you for leaving the facility. It involves creating a tailored plan, coordinating care, and ensuring a smooth transition to your next care setting.
55 services51 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Uw Health

Acute Care Hospitals · Rockford, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140228
Location1401 East State StreetRockford, IL 61104 · Winnebago County
Emergency services Birthing friendly

Saint Anthony Medical Center

Acute Care Hospitals · Rockford, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140233
Location5666 East State StreetRockford, IL 61108 · Winnebago County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61103 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMBD PROPERTY LLC
Skilled Nursing Facility
2313 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 964-2200
AMBERWOOD CARE CENTRE LLC
Skilled Nursing Facility
2313 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 964-4611
KATHERINE FAYE ACHENBACH M.S., CF-SLP
Speech-Language Pathologist
2313 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 964-2200
AMY LUNDGREN RN
Registered Nurse (Gerontology)
2313 N ROCKTON AVE
ROCKFORD, IL 61103
Winnebago County (815) 964-2200

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 Baney's NPI number?

The NPI number for Samantha Baney is 1679128730. It was assigned to this individual provider in the NPPES registry on August 6, 2019.

Where is Samantha Baney located?

Samantha Baney practices at 2313 N Rockton Ave, Rockford, IL 61103. The listed phone number is (815) 964-2200.

What is Samantha Baney's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Baney enrolled in Medicare?

Yes. Samantha Baney 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 organizations bill Medicare for Samantha Baney's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Baney reassigns Medicare benefits to 2 organizations: Jet Healthcare LLC (Rockford, IL) and Mindplexity Psychiatric Services, PLLC (Rockford, IL). 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 Baney's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Baney accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Samantha Baney 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.

Is Samantha Baney affiliated with any hospitals?

According to CMS data, Samantha Baney is affiliated with Uw Health and Saint Anthony Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Baney was last updated on January 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.