MS. SAMANTHA ANDREA WAKEFIELD FNP-BC
NPI 1689921538
Nurse Practitioner - Family in Minnetonka, MN
About Ms. Samantha Andrea Wakefield Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. SAMANTHA ANDREA WAKEFIELD FNP-BC (NPI 1689921538) is an individual family provider in Minnetonka, Minnesota, licensed in Georgia (RN192287) and active in the NPI registry since August 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Peachtree City.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Samantha Andrea Wakefield Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Wakefield reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nashville, TN 37219
- Reassigned Medicare billing, Georgia enrollment
- 274 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55343 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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Wakefield's NPI number?
The NPI number for Samantha Wakefield is 1689921538. It was assigned to this individual provider in the NPPES registry on August 9, 2012.
Where is Samantha Wakefield located?
Samantha Wakefield practices at 9900 Bren Rd E, Minnetonka, MN 55343. The listed phone number is (404) 295-5308.
What is Samantha Wakefield's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Wakefield enrolled in Medicare?
Yes. Samantha Wakefield is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Wakefield's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Wakefield reassigns Medicare benefits to Community Care Health Network LLC (Nashville, TN). The 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 Wakefield's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Wakefield was last updated on September 15, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Ms. Samantha Andrea Wakefield, FNP-BC · NPI 1689921538
Family physician in Minnetonka, Minnesota. Individual provider, active in the CMS NPPES registry since August 9, 2012.
## Identity
- **NPI:** 1689921538 (Entity type: Individual)
- **Enumerated:** August 9, 2012
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** RN192287 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 9900 BREN RD E, Minnetonka, MN 55343-9664
- **Phone:** (404) 295-5308
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Community Care Health Network LLC (NPI 1619368842, Nashville, TN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 15, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1689921538) · Data from the CMS NPPES public registry.