MS. LISA ANDREA SAMUELSON OTR
NPI 1730669995
Occupational Therapist - Pediatrics in Fargo, ND
About Ms. Lisa Andrea Samuelson Otr NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. LISA ANDREA SAMUELSON OTR (NPI 1730669995) is an individual pediatrics provider in Fargo, North Dakota, licensed in Texas (114432) and active in the NPI registry since August 2018.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ms. Lisa Andrea Samuelson Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Lisa Samuelson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Fargo, ND 58103
- Reassigned Medicare billing, North Dakota enrollment
- 9 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 17
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 Lisa Samuelson's NPI number?
The NPI number for Lisa Samuelson is 1730669995. It was assigned to this individual provider in the NPPES registry on August 17, 2018.
Where is Lisa Samuelson located?
Lisa Samuelson practices at 4342 15th Ave S Ste 105, Fargo, ND 58103. The listed phone number is (701) 936-9495.
What is Lisa Samuelson's specialty?
The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.
Is Lisa Samuelson enrolled in Medicare?
Yes. Lisa Samuelson is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Lisa Samuelson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisa Samuelson reassigns Medicare benefits to Embrace Therapy Services (Fargo, ND). 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 Lisa Samuelson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisa Samuelson accept?
Health plans from Blue Cross Blue Shield of North Dakota and Sanford Health Plan list Lisa Samuelson 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 Lisa Samuelson was last updated on July 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.