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SAMANTHA ANN HEAVRIN CRNA
NPI 1770769101
Nurse Anesthetist, Certified Registered in Louisville, KY

Active since January 16, 2008PECOS EnrolledAccepts Medicare Assignment
73.19/100
CMS Quality Rating
3920 DUTCHMANS LN, LOUISVILLE, KY 40207(502) 259-6710(502) 259-6704 Get Directions Write a Review

NPPES record last updated: March 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 1, 2023, Jan 25, 2023 (2 updates tracked since 2023).

About Samantha Ann Heavrin Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA ANN HEAVRIN CRNA (NPI 1770769101) is an individual nurse anesthetist, certified registered in Louisville, Kentucky, licensed in Kentucky (3005537) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1770769101
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameSAMANTHA ANN HEAVRINCredential: CRNA
Location Address3920 DUTCHMANS LNLouisville, KY 40207-4702
Mailing AddressPo Box 909Louisville, KY 40201-0909 · (502) 588-0328
Phone(502) 259-6710
Fax(502) 259-6704
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateJanuary 16, 2008
Last NPPES UpdateMarch 1, 20232 updates tracked since enumeration
NPPES CertifiedMarch 1, 2023
✔ NPI 1770769101 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in KY · 3005537✔ Licensed in OH · 14577✔ Licensed in KY · 45498
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
3920 DUTCHMANS LN, Louisville, KY 40207
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Other Identifiers 3

Medicaid0130233OH
Medicaid300005034IN
Medicaid7100035470KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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 Ann Heavrin Crna 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 ID9436237252
PECOS Enrollment IDI20080421000033, I20131122000450
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

4

Medicare enrollment records show Samantha Heavrin reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Louisville Phyisicians, Inc.
Same address
Sleep Medicine
3920 DUTCHMANS LN
Louisville, KY 40207
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • Medicare enrollment name: University Of Louisville Physicians Inc
  • 74 clinicians in this Medicare group
NPI 1679222632 (502) 259-6610
Providian Anesthesia LLC
4.9 mi
Nurse Anesthetist, Certified Registered
1169 EASTERN PKWY STE 400
Louisville, KY 40217
  • Reassigned Medicare billing, Kentucky enrollment
  • 46 clinicians in this Medicare group
NPI 1821654666 (502) 276-5554
Professional Anesthesia Services Of Kentucky PLLC
6.3 mi
Anesthesiology
200 E CHESTNUT ST
Louisville, KY 40202
  • Reassigned Medicare billing, Kentucky enrollment
  • 526 clinicians in this Medicare group
NPI 1992212807 (214) 687-0001
Environ Anesthesia, LLC.
65 mi
Anesthesiology
1532 N LIMESTONE, # 2135
Lexington, KY 40505
  • Reassigned Medicare billing, Kentucky enrollment
  • 60 clinicians in this Medicare group
NPI 1831438092 (859) 421-3682

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
36 services36 patients
Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope 00731
This procedure involves the use of an endoscope, a flexible tube with a light and camera, to examine your esophagus, stomach, or upper small bowel. Anesthesia ensures you are comfortable and pain-free during the procedure.
21 services21 patients
Anesthesia for procedure on small and large bowel using an endoscope 00813
Anesthesia for an endoscopic procedure on the small and large bowel ensures comfort and relaxation during the procedure. It involves administering medicine to help you sleep or feel drowsy. This allows the doctor to examine your bowels without causing you discomfort or pain.
16 services16 patients
Anesthesia for procedure on eyelid 00103
Anesthesia for an eyelid procedure helps ensure comfort and painlessness during the operation. It's typically a local anesthetic, applied to numb your eyelid and surrounding area. You'll likely be awake but won't feel any discomfort. It's a safe, routine part of many eye procedures.
13 services13 patients
Anesthesia for exam of colon using an endoscope 00812
Anesthesia for a colon examination with an endoscope is a method used to ensure comfort during the procedure. It involves administering medication to help you relax or sleep, thus reducing discomfort as the endoscope, a thin, flexible tube, is navigated through your colon.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40207 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$66.24 typical visit price
range $16.53 – $131.99
Typical copayment $16.56 (range $4.13 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

73.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.74
Promoting Interoperability100
Improvement Activities40
Cost51.91

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.

STEPHANIE JILL DYER CCC-SLP
Speech-Language Pathologist
3920 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 259-6608
BETH FOWLER ADKINS CRNA
Nurse Anesthetist, Certified Registered
3920 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 259-6710
TIFFANY SUSAN HELMERICH APRN
Nurse Practitioner
3920 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 259-6610
DR. JOHN BYRNE RADEMAKER M.D.
Anesthesiology
3920 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 259-6710
JEFFREY A TUVLIN MD
Internal Medicine (Gastroenterology)
3920 DUTCHMANS LN, SUITE 310
LOUISVILLE, KY 40207
Jefferson County (502) 895-8970
ROBERT B KEIFER III MD
Anesthesiology
3920 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 259-6710
BLUEGRASS ORTHOPAEDIC GROUP PSC
Neuromusculoskeletal Medicine, Sports Medicine
3920 DUTCHMANS LN, SUITE 314
LOUISVILLE, KY 40207
Jefferson County (502) 895-1489
JEWISH HOSPITAL & ST. MARY'S HEALTHCARE, INC.
Rehabilitation Unit
3920 DUTCHMANS LN
LOUISVILLE, KY 40207
Jefferson County (502) 259-6600

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 Heavrin's NPI number?

The NPI number for Samantha Heavrin is 1770769101. It was assigned to this individual provider in the NPPES registry on January 16, 2008.

Where is Samantha Heavrin located?

Samantha Heavrin practices at 3920 Dutchmans Ln, Louisville, KY 40207. The listed phone number is (502) 259-6710.

What is Samantha Heavrin's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Samantha Heavrin enrolled in Medicare?

Yes. Samantha Heavrin 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 Heavrin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Heavrin reassigns Medicare benefits to 4 organizations: University Of Louisville Phyisicians, Inc. (Louisville, KY), Providian Anesthesia LLC (Louisville, KY), Professional Anesthesia Services Of Kentucky PLLC (Louisville, KY) and Environ Anesthesia, LLC. (Lexington, KY). 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 Heavrin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Heavrin accept?

Health plans from CareSource list Samantha Heavrin 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.

Is Samantha Heavrin affiliated with any hospitals?

According to CMS data, Samantha Heavrin is affiliated with Jewish Hospital & St Mary's Healthcare.

When was this NPI record last updated?

The NPPES record for Samantha Heavrin was last updated on March 1, 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.