SAMANTHA CARRY APRN, FNP-C
NPI 1689387128
Nurse Practitioner - Family in Apple Valley, MN

NPI Status: Active since December 29, 2022

Contact Information

14665 GALAXIE AVE STE 140
APPLE VALLEY, MN
ZIP 55124
Phone: (651) 456-8494

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  • Individual
  • Female
  • Years of Experience 4
  • Nurse Practitioner
  • Family
  • Accepts Insurance
  • May Accept Medicare Approved Payment
  • PECOS Enrolled
  • Opted-Out Medicare

About SAMANTHA CARRY

This page provides the complete NPI Profile along with additional information for Samantha Carry, a provider established in Apple Valley, Minnesota with a medical specialization in Nurse Practitioner, focusing in family and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1689387128 assigned on December 2022. The practitioner's primary taxonomy code is 363LF0000X with license number 9834 (MN). The provider is registered as an individual and her NPI record was last updated April 2026.

NPI
1689387128
Provider Name
SAMANTHA CARRY APRN, FNP-C
Gender
Female
Entity Type
Individual
Location Address
14665 GALAXIE AVE STE 140 APPLE VALLEY, MN 55124
Location Phone
(651) 456-8494
Mailing Address
3250 W 66TH ST APT 347 EDINA, MN 55435
Mailing Phone
(612) 208-2616
Medical School Name
OTHER
Graduation Year
2022
Is Sole Proprietor?
No
Enumeration Date
12-29-2022
Last Update Date
04-22-2026
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A nurse practitioner (NP) like Samantha Carry is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Samantha Carry opted out of Medicare effective on 01-30-2026 until 01-30-2028. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.

Location Map

Secondary Locations

  • 333 Main St N Ste 110
    Stillwater, MN 55082
    (651) 425-9297
  • 121 Washington Ave S Fl 2
    Minneapolis, MN 55401
    (888) 731-8994
  • 3018 W 56th St
    Minneapolis, MN 55410
    (612) 276-2526

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
9834
License State
MN

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Individual Choice Bronze $0 Copay PCP Visits - HMO
  • Medica Individual Choice Bronze HSA - EPO
  • Medica Individual Choice Bronze Share - EPO
  • Medica Individual Choice Bronze Share - HMO
  • Medica Individual Choice Expanded Bronze Standard - EPO
  • Medica Individual Choice Expanded Bronze Standard - HMO
  • Medica Individual Choice Gold $0 Copay PCP Visits - EPO
  • Medica Individual Choice Gold $0 Copay PCP Visits - HMO
  • Medica Individual Choice Gold Share - EPO
  • Medica Individual Choice Gold Share - HMO
  • Medica Individual Choice Gold Standard - EPO
  • Medica Individual Choice Gold Standard - HMO
  • Medica Individual Choice Silver $0 Copay PCP Visits - EPO
  • Medica Individual Choice Silver $0 Copay PCP Visits - HMO
  • Medica Individual Choice Silver Share - EPO
  • Medica Individual Choice Silver Share - HMO
  • Medica Individual Choice Silver Standard - EPO
  • Medica Individual Choice Silver Standard - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Samantha Carry is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.

Samantha Carry is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 01-30-2026

  • Opt-Out End Date: 01-30-2028

  • Eligible to Order and Refer? Yes

  • PECOS PAC ID: 5991162323

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230531000380

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Maybe

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 55124 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $85.82
  • Minimum New Patient Price $56
  • Maximum New Patient Price $168.28
  • Average New Patient Copayment $21.45
  • Minimum New Patient Copayment $14
  • Maximum New Patient Copayment $42.07

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.61
  • Minimum Established Patient Price $18.32
  • Maximum Established Patient Price $138.04
  • Average Established Patient Copayment $24.65
  • Minimum Established Patient Copayment $4.58
  • Maximum Established Patient Copayment $34.51

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Samantha Carry is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HENNEPIN COUNTY MEDICAL CENTER701 PARK AVENUE
MINNEAPOLIS, MN 55415
(612) 873-6422Acute Care Hospitals

Reviews for SAMANTHA CARRY APRN, FNP-C

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689387128, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
6
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
9
Unchanged
Pos 5
3
Doubled → 6
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
1
Unchanged
Pos 9
2
Doubled → 4
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 3 → 6 7 → 14 → 5 2 → 4

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 6 + 8 + 1 + 4 + 1 + 4 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1689387128.

Other Providers at the Same Location


The following 18 providers are registered at the same or a nearby location.

Psychiatry & Neurology (Psychiatry)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Marriage & Family Therapist
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Nurse Practitioner (Psychiatric/Mental Health)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Social Worker (Clinical)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Counselor (Professional)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Nurse Practitioner (Gerontology)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Counselor (Professional)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Marriage & Family Therapist
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Psychologist
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Acupuncturist
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Family Medicine
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Social Worker (Clinical)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Counselor (Mental Health)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Nurse Practitioner (Family)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Social Worker (Clinical)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Marriage & Family Therapist
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Social Worker (Clinical)
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124
Marriage & Family Therapist
14665 GALAXIE AVE STE 140
APPLE VALLEY, MN 55124

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1689387128, enumerated as an "individual" on December 29, 2022.

The provider is located at 14665 GALAXIE AVE STE 140 APPLE VALLEY, MN 55124 and the phone number is (651) 456-8494.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.

Samantha Carry is affiliated with: HENNEPIN COUNTY MEDICAL CENTER.