MRS. SAMANTHA ANN SELFRIDGE FNP-C
NPI 1720959125
Nurse Practitioner - Family in Chelmsford, MA

Q: What is Samantha Selfridge's NPI number?

The NPI number for Samantha Selfridge is 1720959125. It was assigned to this individual provider in the NPPES registry on September 17, 2025.

Q: What is Samantha Selfridge's specialty?

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

Active since September 17, 2025PECOS EnrolledAccepts Medicare Assignment

290 LITTLETON RD UNIT 3, CHELMSFORD, MA 01824(978) 685-2460 Get Directions Write a Review

NPPES record last updated: January 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 12, 2026, Sep 17, 2025 (2 updates tracked since 2025).

On this page

About Mrs. Samantha Ann Selfridge Fnp-c NPPES

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

MRS. SAMANTHA ANN SELFRIDGE FNP-C (NPI 1720959125) is an individual family provider in Chelmsford, Massachusetts, licensed in Massachusetts (RN2318285) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2025).

NPPES Registry Identity

NPI1720959125

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameMRS. SAMANTHA ANN SELFRIDGECredential: FNP-C

Location Address290 LITTLETON RD UNIT 3Chelmsford, MA 01824-3429

Mailing Address290 Littleton Rd Unit 3Chelmsford, MA 01824-3429 · (978) 685-2460

Phone(978) 685-2460

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateSeptember 17, 2025

Last NPPES UpdateJanuary 12, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 12, 2026

✔ NPI 1720959125 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 MA · RN2318285

290 LITTLETON RD UNIT 3, Chelmsford, MA 01824

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samantha Ann Selfridge Fnp-c 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 ID3678050879

PECOS Enrollment IDI20260120000973

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01824 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

$97.64 typical visit price

range $63.72 – $189.86

Typical copayment $24.41 (range $15.93 – $47.46)

Most-billed visit code 99203

Established Patient

$111.18 typical visit price

range $21.07 – $155.29

Typical copayment $27.79 (range $5.26 – $38.82)

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 20

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

JOE JOSEPH M.D.

Internal Medicine