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SAMANTHA CRAGG M.D.
NPI 1699071217
Physical Medicine & Rehabilitation - Pediatric Rehabilitation Medicine in Boise, ID

Active since January 28, 2011PECOS Enrolled
305 E JEFFERSON ST, BOISE, ID 83712(083) 815-1112 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 20, 2020, Nov 13, 2019, Sep 15, 2017 (3 updates tracked since 2017).

About Samantha Cragg M.d. NPPES

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

SAMANTHA CRAGG M.D. (NPI 1699071217) is an individual pediatric rehabilitation medicine provider in Boise, Idaho, licensed in Idaho (M-14907) and active in the NPI registry since January 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699071217
Entity TypeIndividualFemale
Primary Taxonomy2081P0010X
Provider Legal NameSAMANTHA CRAGGCredential: M.D.
Location Address305 E JEFFERSON STBoise, ID 83712-6231
Mailing Address305 E Jefferson StBoise, ID 83712-6231 · (208) 381-5111
Phone(083) 815-1112
Sole ProprietorNo
Enumeration DateJanuary 28, 2011
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1699071217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pediatric Rehabilitation MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P0010X
License✔ Licensed in ID · M-14907
Definition
A physiatrist who utilizes an interdisciplinary approach and addresses the prevention, diagnosis, treatment and management of congenital and childhood-onset physical impairments including related or secondary medical, physical, functional, psychosocial and vocational limitations or conditions, with an understanding of the life course of disability. This physician is trained in the identification of functional capabilities and selection of the best of rehabilitation intervention strategies, with an understanding of the continuum of care.
305 E JEFFERSON ST, Boise, ID 83712
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Cragg M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Samantha Cragg reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St Lukes Clinic-Treasure Valley LLC
Same address
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

HAILEY LIZABETH COLLETTE MS
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
ARIANA LAWRENCE MS, RD, LD
Dietitian, Registered
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
NATALIE PARRISH LCSW
Social Worker (Clinical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7340
DR. PAUL CHRISTIAN NEVILLE O.D.
Optometrist
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-6910
LINDSEY RAE WENDEL CPNP-PC
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7011
JASON JOHN OVEROCKER PA-C
Physician Assistant (Surgical)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7370
KODY MICHAEL DUCLOS RD, LD
Dietitian, Registered (Nutrition, Pediatric)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 381-7081
KELSEY EILEEN MOE PCP-NP
Nurse Practitioner (Pediatrics)
305 E JEFFERSON ST
BOISE, ID 83712
Ada County (208) 706-5437

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 Cragg's NPI number?

The NPI number for Samantha Cragg is 1699071217. It was assigned to this individual provider in the NPPES registry on January 28, 2011.

Where is Samantha Cragg located?

Samantha Cragg practices at 305 E Jefferson St, Boise, ID 83712. The listed phone number is (083) 815-1112.

What is Samantha Cragg's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pediatric Rehabilitation Medicine, with taxonomy code 2081P0010X.

Is Samantha Cragg enrolled in Medicare?

Yes. Samantha Cragg is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Cragg's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Cragg reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Cragg's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Cragg accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Samantha Cragg 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.

When was this NPI record last updated?

The NPPES record for Samantha Cragg was last updated on July 20, 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.