SAMANTHA MARIE SORENSEN PSY.D., LP
NPI 1750625166
Psychologist in St Louis Park, MN
About Samantha Marie Sorensen Psy.d., Lp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA MARIE SORENSEN PSY.D., LP (NPI 1750625166) is an individual psychologist in St Louis Park, Minnesota, licensed in Minnesota (LP5556) and active in the NPI registry since November 2012. She is enrolled in Medicare PECOS.
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)
Samantha Marie Sorensen Psy.d., Lp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Sorensen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Edina, MN 55435
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 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 2
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 Sorensen's NPI number?
The NPI number for Samantha Sorensen is 1750625166. It was assigned to this individual provider in the NPPES registry on November 26, 2012.
Where is Samantha Sorensen located?
Samantha Sorensen practices at 4601 Excelsior Blvd Ste 411, St Louis Park, MN 55416. The listed phone number is (763) 614-5060.
What is Samantha Sorensen's specialty?
The primary specialty registered for this NPI is Psychologist with taxonomy code 103T00000X.
Is Samantha Sorensen enrolled in Medicare?
Yes. Samantha Sorensen is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samantha Sorensen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Sorensen reassigns Medicare benefits to 2 organizations: Fairview Health Services (Edina, MN) and Fairview Specialty Services (Minneapolis, MN). 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 Sorensen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Sorensen accept?
Health plans from Sanford Health Plan list Samantha Sorensen 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 Sorensen was last updated on September 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.