SAMANTHA MARIE LARSON MSW, LCSW
NPI 1740899285
Social Worker - Clinical in Sister Bay, WI
About Samantha Marie Larson Msw, Lcsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MARIE LARSON MSW, LCSW (NPI 1740899285) is an individual clinical provider in Sister Bay, Wisconsin, licensed in Wisconsin (11314-123) and active in the NPI registry since July 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
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
Samantha Marie Larson Msw, Lcsw 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 Reassignment
Medicare enrollment records show Samantha Larson reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Sturgeon Bay, WI 54235
- Reassigned Medicare billing, Wisconsin enrollment
- 131 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 54234 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 18
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 Larson's NPI number?
The NPI number for Samantha Larson is 1740899285. It was assigned to this individual provider in the NPPES registry on July 30, 2020. The provider is also known as Samantha Prust.
Where is Samantha Larson located?
Samantha Larson practices at 2345 Canterbury Ln, Sister Bay, WI 54234. The listed phone number is (920) 868-3511.
What is Samantha Larson's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Samantha Larson enrolled in Medicare?
Yes. Samantha Larson 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 organization bills Medicare for Samantha Larson's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Larson reassigns Medicare benefits to Door County Memorial Hospital (Sturgeon Bay, WI). 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 Larson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Larson accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource (Common Ground Healthcare), Dean Health Plan, Network Health and Security Health Plan list Samantha Larson 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 Larson was last updated on January 16, 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.
# Samantha Marie Larson, MSW, LCSW · NPI 1740899285
Clinical provider in Sister Bay, Wisconsin. Individual provider, active in the CMS NPPES registry since July 30, 2020.
## Identity
- **NPI:** 1740899285 (Entity type: Individual)
- **Enumerated:** July 30, 2020
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 11314-123 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 2345 CANTERBURY LN, Sister Bay, WI 54234-5602
- **Phone:** (920) 868-3511 · **Fax:** (608) 270-0467
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Door County Memorial Hospital (NPI 1093743874, Sturgeon Bay, WI), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** January 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1740899285) · Data from the CMS NPPES public registry.