AMY MARIE SAMOLIS MS, AG-ACNP-BC
NPI 1720456270
Nurse Practitioner - Acute Care in Sacramento, CA

Active since September 14, 2015PECOS EnrolledAccepts Medicare Assignment
99.97/100
CMS Quality Rating
4860 Y ST STE 3400, SACRAMENTO, CA 95817(916) 734-2730 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 14, 2017, Sep 2, 2016 (3 updates tracked since 2016).

About Amy Marie Samolis Ms, Ag-acnp-bc NPPES

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

AMY MARIE SAMOLIS MS, AG-ACNP-BC (NPI 1720456270) is an individual acute care provider in Sacramento, California, licensed in California (NP95002971) and active in the NPI registry since September 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1720456270
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameAMY MARIE SAMOLISCredential: MS, AG-ACNP-BC
Location Address4860 Y ST STE 3400Sacramento, CA 95817-2307
Mailing Address4860 Y St Ste 3400Sacramento, CA 95817-2307 · (916) 734-2730
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateSeptember 14, 2015
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2025
✔ NPI 1720456270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in CA · NP95002971
4860 Y ST STE 3400, Sacramento, CA 95817

Other Names 1

Former Name (1)Mrs. Amy Marie Lonergan Np

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

Amy Marie Samolis Ms, Ag-acnp-bc 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 ID7618277583
PECOS Enrollment IDI20151125000343
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

4

Medicare enrollment records show Amy Samolis reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Maternal & Fetal Medicine
4860 Y ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
Pulmonary Disease
5 MEDICAL PLAZA DR STE 190
Roseville, CA 95661
  • Reassigned Medicare billing, California enrollment
  • 115 clinicians in this Medicare group
General Acute Care Hospital
1000 NUT TREE RD
Vacaville, CA 95687
  • Reassigned Medicare billing, California enrollment
  • Medicare enrollment name: Northbay Physicians Surgery Center, LLC
  • 516 clinicians in this Medicare group
Emergency Medicine
1000 TRANCAS ST
Napa, CA 94558
  • Reassigned Medicare billing, California enrollment
  • 53 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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.5
Promoting Interoperability100
Improvement Activities40
Cost75.07

Other Providers at the Same Location NPPES 5

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

Nurse Practitioner (Family)
4860 Y ST STE 3400
SACRAMENTO, CA 95817
Nurse Practitioner (Acute Care)
4860 Y ST STE 3400
SACRAMENTO, CA 95817
Internal Medicine (Cardiovascular Disease)
4860 Y ST STE 3400
SACRAMENTO, CA 95817
Nurse Practitioner (Acute Care)
4860 Y ST STE 3400
SACRAMENTO, CA 95817
Nurse Practitioner (Family)
4860 Y ST STE 3400
SACRAMENTO, CA 95817

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 Amy Samolis's NPI number?

The NPI number for Amy Samolis is 1720456270. It was assigned to this individual provider in the NPPES registry on September 14, 2015. The provider is also known as Mrs. Amy Marie Lonergan Np.

Where is Amy Samolis located?

Amy Samolis practices at 4860 Y St Ste 3400, Sacramento, CA 95817. The listed phone number is (916) 734-2730.

What is Amy Samolis's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Amy Samolis enrolled in Medicare?

Yes. Amy Samolis 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 Amy Samolis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amy Samolis reassigns Medicare benefits to 4 organizations: Regents Of The Univ Of Ca (Sacramento, CA), Pulmonary Medicine Associates Medical Group, Inc (Roseville, CA), Northbay Healthcare Group (Vacaville, CA) and Napa Valley Emergency Medical Group (Napa, CA). 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 Amy Samolis'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 Amy Samolis was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.