SAMSON MCCOY
NPI 1730566340
Social Worker in Fargo, ND
About Samson Mccoy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMSON MCCOY (NPI 1730566340) is an individual social worker in Fargo, North Dakota, licensed in North Dakota (5892) and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
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
Samson Mccoy 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.
Medicare Billing Reassignments
8Medicare enrollment records show Samson Mccoy reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Southeast Human Service Center
- 91 clinicians in this Medicare group
Grand Forks, ND 58201
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Northeast Human Service Center
- 79 clinicians in this Medicare group
Jamestown, ND 58401
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: South Central Human Service Center
- 73 clinicians in this Medicare group
Devils Lake, ND 58301
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Lake Region Human Service Center
- 69 clinicians in this Medicare group
Bismarck, ND 58501
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: West Central Human Service Center
- 89 clinicians in this Medicare group
Minot, ND 58701
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: North Central Human Service Center
- 78 clinicians in this Medicare group
Dickinson, ND 58601
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Badlands Human Service Center
- 79 clinicians in this Medicare group
Williston, ND 58801
- Reassigned Medicare billing, North Dakota enrollment
- Medicare enrollment name: Northwest Human Service Center
- 69 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.
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.
FARGO, ND 58103
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 Samson Mccoy's NPI number?
The NPI number for Samson Mccoy is 1730566340. It was assigned to this individual provider in the NPPES registry on May 4, 2015.
Where is Samson Mccoy located?
Samson Mccoy practices at 2624 9th Ave S, Fargo, ND 58103. The listed phone number is (701) 298-4500.
What is Samson Mccoy's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Samson Mccoy enrolled in Medicare?
Yes. Samson Mccoy 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 Samson Mccoy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samson Mccoy reassigns Medicare benefits to 8 organizations: Southeast Behavioral Health Clinic (Fargo, ND), Northeast Behavioral Health Clinic (Grand Forks, ND), South Central Behavioral Health Clinic (Jamestown, ND), Lake Region Behavioral Health Clinic (Devils Lake, ND), West Central Behavioral Health Clinic (Bismarck, ND) and 3 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 Samson Mccoy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samson Mccoy accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Samson Mccoy 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 Samson Mccoy was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Samson Mccoy · NPI 1730566340
Social Worker provider in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since May 4, 2015.
## Identity
- **NPI:** 1730566340 (Entity type: Individual)
- **Enumerated:** May 4, 2015
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 5892 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2624 9TH AVE S, Fargo, ND 58103-2350
- **Phone:** (701) 298-4500 · **Fax:** (701) 298-4400
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 8 organizations under Medicare reassignment (form CMS-855R): Southeast Behavioral Health Clinic (NPI 1932146941, Fargo, ND); Northeast Behavioral Health Clinic (NPI 1366496341, Grand Forks, ND); South Central Behavioral Health Clinic (NPI 1225075906, Jamestown, ND); Lake Region Behavioral Health Clinic (NPI 1669411930, Devils Lake, ND); West Central Behavioral Health Clinic (NPI 1649226713, Bismarck, ND); and 3 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** September 9, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1730566340) · Data from the CMS NPPES public registry.