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SAMANTHA SHYMANSKI PMHNP
NPI 1780280123
Nurse Practitioner - Psychiatric/Mental Health in Sawyer, MN

Active since December 10, 2020PECOS Enrolled
1150 MISSION RD, SAWYER, MN 55780(218) 879-6731 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Samantha Shymanski Pmhnp NPPES

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

SAMANTHA SHYMANSKI PMHNP (NPI 1780280123) is an individual psychiatric/mental health provider in Sawyer, Minnesota, licensed in Minnesota (7935) and active in the NPI registry since December 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780280123
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA SHYMANSKICredential: PMHNP
Location Address1150 MISSION RDSawyer, MN 55780
Mailing Address738 Birch StCloquet, MN 55720-1306 · (218) 349-3076
Phone(218) 879-6731
Sole ProprietorYes
Enumeration DateDecember 10, 2020
NPPES CertifiedDecember 8, 2020
✔ NPI 1780280123 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MN · 7935
1150 MISSION RD, Sawyer, MN 55780
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Shymanski Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55780 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

SCOTT ALLAN HOLMES LADC
Counselor
1150 MISSION RD
SAWYER, MN 55780
Carlton County (218) 879-6730
MINNESOTA INDIAN PRIMARY RESIDENTIAL TREATMENT CENTER, INC.
Substance Abuse Rehabilitation Facility
1150 MISSION RD
SAWYER, MN 55780
Carlton County (218) 879-6731

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 Shymanski's NPI number?

The NPI number for Samantha Shymanski is 1780280123. It was assigned to this individual provider in the NPPES registry on December 10, 2020.

Where is Samantha Shymanski located?

Samantha Shymanski practices at 1150 Mission Rd, Sawyer, MN 55780. The listed phone number is (218) 879-6731.

What is Samantha Shymanski's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Shymanski enrolled in Medicare?

Yes. Samantha Shymanski is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samantha Shymanski was last updated on December 10, 2020. 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.