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

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: October 18, 2026.

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

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
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

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

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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Selfridge reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
290 LITTLETON RD UNIT 3
Chelmsford, MA 01824
  • Reassigned Medicare billing, Massachusetts enrollment
  • 58 clinicians in this Medicare group
Internal Medicine
290 LITTLETON RD UNIT 3
Chelmsford, MA 01824
  • Reassigned Medicare billing, Massachusetts enrollment
  • 57 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 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.

Internal Medicine
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Nurse Practitioner (Psychiatric/Mental Health)
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Internal Medicine
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Internal Medicine
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Internal Medicine
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Internal Medicine (Rheumatology)
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Internal Medicine
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824
Internal Medicine
290 LITTLETON RD UNIT 3
CHELMSFORD, MA 01824

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 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.

Where is Samantha Selfridge located?

Samantha Selfridge practices at 290 Littleton Rd Unit 3, Chelmsford, MA 01824. The listed phone number is (978) 685-2460.

What is Samantha Selfridge's specialty?

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

Is Samantha Selfridge enrolled in Medicare?

Yes. Samantha Selfridge 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 Selfridge's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Selfridge reassigns Medicare benefits to 2 organizations: Lawrence General Community Medical Service PLLC (Chelmsford, MA) and New England Community Medical Services PLLC (Chelmsford, MA). 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 Selfridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Selfridge accept?

Health plans from WellSense Health Plan list Samantha Selfridge 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.

When was this NPI record last updated?

The NPPES record for Samantha Selfridge was last updated on January 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.