MRS. SAMANTHA JANE SMITH C.N.M.
NPI 1720478753
Advanced Practice Midwife in Marysville, CA
About Mrs. Samantha Jane Smith C.n.m. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. SAMANTHA JANE SMITH C.N.M. (NPI 1720478753) is an individual advanced practice midwife in Marysville, California and active in the NPI registry since January 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phoenix.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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)
Mrs. Samantha Jane Smith C.n.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 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 95901 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 Smith's NPI number?
The NPI number for Samantha Smith is 1720478753. It was assigned to this individual provider in the NPPES registry on January 29, 2015. The provider is also known as Miss Samantha Jane Stajduhar.
Where is Samantha Smith located?
Samantha Smith practices at 5730 Packard Ave Ste 500, Marysville, CA 95901. The listed phone number is (530) 749-3242.
What is Samantha Smith's specialty?
The primary specialty registered for this NPI is Advanced Practice Midwife with taxonomy code 367A00000X.
Is Samantha Smith enrolled in Medicare?
Yes. Samantha Smith is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Smith's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Smith reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). 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 Smith'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 Smith was last updated on January 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mrs. Samantha Jane Smith, C.N.M. · NPI 1720478753
Advanced Practice Midwife physician in Marysville, California. Individual provider, active in the CMS NPPES registry since January 29, 2015.
## Identity
- **NPI:** 1720478753 (Entity type: Individual)
- **Enumerated:** January 29, 2015
- **Primary specialty:** Advanced Practice Midwife · taxonomy 367A00000X
- **Sole proprietor:** No
## Practice location
- **Address:** 5730 PACKARD AVE STE 500, Marysville, CA 95901-7119
- **Phone:** (530) 749-3242 · **Fax:** (530) 749-3248
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Permanente Medical Group Inc (NPI 1548343510, Stockton, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1720478753) · Data from the CMS NPPES public registry.