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

Q: 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.

Q: 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.

Q: 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.

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: August 09, 2026.

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

On this page

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., Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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)