SAMANTHA LEIGH MADISON
NPI 1689237794
Nurse Practitioner in Chambersburg, PA
About Samantha Leigh Madison NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA LEIGH MADISON (NPI 1689237794) is an individual nurse practitioner in Chambersburg, Pennsylvania, licensed in Pennsylvania (SP026397) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and maintains 6 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 6
Accepted 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 Leigh Madison 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 Reassignments
4Medicare enrollment records show Samantha Madison reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Chambersburg, PA 17201
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Falling Waters, WV 25419
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 clinicians in this Medicare group
Martinsburg, WV 25401
- Reassigned Medicare billing, West Virginia enrollment
- 231 clinicians in this Medicare group
Ranson, WV 25438
- Reassigned Medicare billing, West Virginia enrollment
- 110 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Wellspan Chambersburg Hospital
Acute Care Hospitals · Chambersburg, PAFulton County Medical Center
Critical Access Hospitals · Mcconnellsburg, PAJefferson Medical Center
Critical Access Hospitals · Ranson, WVPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17201 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 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CHAMBERSBURG, PA 17201
CHAMBERSBURG, PA 17201
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 Madison's NPI number?
The NPI number for Samantha Madison is 1689237794. It was assigned to this individual provider in the NPPES registry on April 16, 2019.
Where is Samantha Madison located?
Samantha Madison practices at 12 St Paul Dr, Chambersburg, PA 17201. The listed phone number is (717) 217-6882.
What is Samantha Madison's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Madison enrolled in Medicare?
Yes. Samantha Madison 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 Madison's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Madison reassigns Medicare benefits to 4 organizations: Wellspan Medical Group (Chambersburg, PA), Spring Mills Medical Center (Falling Waters, WV), City Hospital, Inc. (Martinsburg, WV) and Jefferson Memorial Hospital (Ranson, WV). 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 Madison's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Madison accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia list Samantha Madison 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 Madison affiliated with any hospitals?
According to CMS data, Samantha Madison is affiliated with Wellspan Chambersburg Hospital, Fulton County Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Madison was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 Leigh Madison · NPI 1689237794
Nurse Practitioner physician in Chambersburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since April 16, 2019.
## Identity
- **NPI:** 1689237794 (Entity type: Individual)
- **Enumerated:** April 16, 2019
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** SP026397 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 12 ST PAUL DR, Chambersburg, PA 17201-1035
- **Phone:** (717) 217-6882
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Wellspan Medical Group (NPI 1083392740, Chambersburg, PA); Spring Mills Medical Center (NPI 1235489931, Falling Waters, WV); City Hospital, Inc. (NPI 1194141499, Martinsburg, WV); Jefferson Memorial Hospital (NPI 1891722377, Ranson, WV) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1689237794) · Data from the CMS NPPES public registry.