SAMANTHA LEIGH MADISON
NPI 1689237794
Nurse Practitioner in Chambersburg, PA

Active since April 16, 2019PECOS EnrolledAccepts Medicare Assignment
12 ST PAUL DR, CHAMBERSBURG, PA 17201(717) 217-6882 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 17, 2022, Oct 17, 2022, Apr 21, 2022 and 3 more (6 updates tracked since 2019).

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

NPI1689237794
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA LEIGH MADISON
Location Address12 ST PAUL DRChambersburg, PA 17201-1035
Mailing Address785 5th Ave Ste 3Chambersburg, PA 17201-4232 · (717) 263-9555
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 16, 2019
Last NPPES UpdateNovember 17, 20226 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
NPI 1689237794 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Licenses Licensed in PA · SP026397 Licensed in WV · 102689
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
12 ST PAUL DR, Chambersburg, PA 17201

Secondary Practice Locations 6

Location 1120 N 7th StChambersburg, PA 17201-1795 · Phone (717) 217-6882
Location 224 Antrim Commons DrGreencastle, PA 17225-1623 · Phone (717) 765-5086
Location 3214 Peach Orchard RdMc Connellsburg, PA 17233-8559 · Phone (717) 485-6125
Location 4601 E Main StWaynesboro, PA 17268-2332 · Phone (717) 765-5086
Location 597 Progress BlvdShippensburg, PA 17257-9053 · Phone (717) 217-6882
Location 6201 E 5th AveRanson, WV 25438-1678 · Phone (304) 596-2149

Accepted Insurance

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 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.

PECOS PAC ID1153655154
PECOS Enrollment IDI20190625003041, I20221031002173
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.

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, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391303
Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County
Emergency services

Jefferson Medical Center

Critical Access Hospitals · Ranson, WV
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number511319
Location300 South Preston StreetRanson, WV 25438 · Jefferson County
Emergency services Birthing friendly

Physician 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.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Physician Assistant (Medical)
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Obstetrics & Gynecology
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Radiology (Vascular & Interventional Radiology)
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Nurse Anesthetist, Certified Registered
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Dietitian, Registered
12 ST PAUL DR, WELLSPAN ENDOCRINOLOGY
CHAMBERSBURG, PA 17201
Obstetrics & Gynecology
12 ST PAUL DR
CHAMBERSBURG, PA 17201
Nurse Practitioner
12 ST PAUL DR
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.

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.