SAMANTHA MARTIN
NPI 1699384628
Nurse Practitioner - Family in Deridder, LA

Active since July 27, 2020PECOS EnrolledAccepts Medicare Assignment
501 S PINE ST, DERIDDER, LA 70634(337) 463-9890 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 4, 2023, May 21, 2021, Jul 27, 2020 (3 updates tracked since 2020).

About Samantha Martin NPPES

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

SAMANTHA MARTIN (NPI 1699384628) is an individual family provider in Deridder, Louisiana, licensed in Louisiana (214147) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS, is affiliated with Beauregard Memorial Hospital, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1699384628
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA MARTIN
Location Address501 S PINE STDeridder, LA 70634-4939
Mailing Address501 S Pine StDeridder, LA 70634-4939 · (337) 463-9890
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJuly 27, 2020
Last NPPES UpdateJanuary 4, 20233 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1699384628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in LA · 214147
501 S PINE ST, Deridder, LA 70634

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Martin 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 ID42636615
PECOS Enrollment IDI20200812003751
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 Reassignments

7

Medicare enrollment records show Samantha Martin reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Multi-Specialty
501 S PINE ST
Deridder, LA 70634
  • Reassigned Medicare billing, Louisiana enrollment
  • 17 clinicians in this Medicare group
Obstetrics & Gynecology
600 S PINE ST
Deridder, LA 70634
  • Reassigned Medicare billing, Louisiana enrollment
  • 15 clinicians in this Medicare group
Internal Medicine
301 S WASHINGTON ST
Deridder, LA 70634
  • Reassigned Medicare billing, Louisiana enrollment
  • 14 clinicians in this Medicare group
Internal Medicine
495 W 8TH ST
Deridder, LA 70634
  • Reassigned Medicare billing, Louisiana enrollment
  • 6 clinicians in this Medicare group
Orthopaedic Surgery
1106 PORT ARTHUR TER
Leesville, LA 71446
  • Reassigned Medicare billing, Louisiana enrollment
  • 7 clinicians in this Medicare group
Hospitalist
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Louisiana enrollment
  • 122 clinicians in this Medicare group
Emergency Medicine
1602 AVENUE Q
Lubbock, TX 79401
  • Reassigned Medicare billing, Louisiana enrollment
  • 214 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beauregard Memorial Hospital

Acute Care Hospitals · Deridder, LA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number190050
Location600 S Pine StreetDeridder, LA 70634 · Beauregard County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70634 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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 7

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

Nurse Practitioner (Primary Care)
501 S PINE ST
DERIDDER, LA 70634
Family Medicine
501 S PINE ST
DERIDDER, LA 70634
Family Medicine
501 S PINE ST
DERIDDER, LA 70634
Clinic/Center (Multi-Specialty)
501 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner (Psychiatric/Mental Health)
501 S PINE ST
DERIDDER, LA 70634
Clinic/Center (Rural Health)
501 S PINE ST
DERIDDER, LA 70634
Nurse Practitioner (Pediatrics)
501 S PINE ST
DERIDDER, LA 70634

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 Martin's NPI number?

The NPI number for Samantha Martin is 1699384628. It was assigned to this individual provider in the NPPES registry on July 27, 2020.

Where is Samantha Martin located?

Samantha Martin practices at 501 S Pine St, Deridder, LA 70634. The listed phone number is (337) 463-9890.

What is Samantha Martin's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Martin enrolled in Medicare?

Yes. Samantha Martin 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.

Which organizations bill Medicare for Samantha Martin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Martin reassigns Medicare benefits to 7 organizations: Beauregard Family Medical Center, LLC (Deridder, LA), Beauregard Women's Health Center, LLC (Deridder, LA), Beauregard Medical And Surgical Center, LLC (Deridder, LA), Beauregard Internal Medicine Center, LLC (Deridder, LA), Great River Orthopedic And Sports Medicine Center, Inc. (Leesville, LA) and 2 more organizations, listed in the Medicare section above. Each 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 Martin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Martin accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Blue Cross and Blue Shield of Louisiana and 1 other insurer list Samantha Martin 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 Martin affiliated with any hospitals?

According to CMS data, Samantha Martin is affiliated with Beauregard Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Martin was last updated on January 4, 2023. 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.