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SAMANTHA J BIALECKI CNP
NPI 1790238988
Nurse Practitioner - Adult Health in Toledo, OH

Active since July 25, 2016PECOS EnrolledAccepts Medicare Assignment
2940 N MCCORD RD, TOLEDO, OH 43615(419) 842-3000(419) 842-3047 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 3, 2023, Aug 17, 2016 (2 updates tracked since 2016).

About Samantha J Bialecki Cnp NPPES

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

SAMANTHA J BIALECKI CNP (NPI 1790238988) is an individual adult health provider in Toledo, Ohio, licensed in Ohio (APRN.CNP.019386) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Promedica Charles And Virginia Hickman Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1790238988
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSAMANTHA J BIALECKICredential: CNP
Location Address2940 N MCCORD RDToledo, OH 43615-1753
Mailing Address2940 N Mccord RdToledo, OH 43615-1753
Phone(419) 842-3000
Fax(419) 842-3047
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateJuly 25, 2016
Last NPPES UpdateJune 9, 20262 updates tracked since enumeration
NPPES CertifiedJune 9, 2026
✔ NPI 1790238988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in OH · APRN.CNP.019386
2940 N MCCORD RD, Toledo, OH 43615
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 J Bialecki Cnp 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 ID6103113642
PECOS Enrollment IDI20160927000819, I20191223001683
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

5

Medicare enrollment records show Samantha Bialecki reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Promedica Northwest Ohio Cardiology Consultants, LLC
Same address
Cardiac Rehabilitation
2940 N MCCORD RD STE 101
Toledo, OH 43615
  • Reassigned Medicare billing, Ohio and Michigan enrollments
  • Also billed through NPI 1780820555 (Michigan)
  • 86 clinicians in this Medicare group
NPI 1649559394 (419) 842-3000
The Toledo Hospital
3.0 mi
Internal Medicine
5855 MONROE ST
Sylvania, OH 43560
  • Reassigned Medicare billing, Ohio enrollment
  • 375 clinicians in this Medicare group
NPI 1033546981 (419) 824-7334
Bay Park Community Hospital
12 mi
General Acute Care Hospital
2801 BAY PARK DR
Oregon, OH 43616
  • Reassigned Medicare billing, Ohio enrollment
  • 38 clinicians in this Medicare group
NPI 1598765539 (800) 477-4035
Wood Health Company LLC
20 mi
Family Medicine
1039 HASKINS RD UNIT A
Bowling Green, OH 43402
  • Reassigned Medicare billing, Ohio enrollment
  • 69 clinicians in this Medicare group
NPI 1598776916 (419) 373-7607
Memorial Hospital
37 mi
General Acute Care Hospital
715 SOUTH TAFT AVENUE
Fremont, OH 43420
  • Reassigned Medicare billing, Ohio enrollment
  • 11 clinicians in this Medicare group
NPI 1851338149 (419) 332-7321

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
103 services102 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services60 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
38 services38 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
31 services31 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Promedica Charles And Virginia Hickman Hospital

Acute Care Hospitals · Adrian, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230005
Location5640 N Adrian HighwayAdrian, MI 49221 · Lenawee County
Emergency services Birthing friendly

Wood County Hospital

Acute Care Hospitals · Bowling Green, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360029
Location950 West Wooster StreetBowling Green, OH 43402 · Wood County
Emergency services Birthing friendly

Promedica Toledo Hospital

Acute Care Hospitals · Toledo, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360068
Location2142 North Cove BoulevardToledo, OH 43606 · Lucas County
Emergency services Birthing friendly

Memorial Hospital

Acute Care Hospitals · Fremont, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360156
Location715 South Taft AvenueFremont, OH 43420 · Sandusky County
Birthing friendly

Bay Park Community Hospital

Acute Care Hospitals · Oregon, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360259
Location2801 Bay Park DriveOregon, OH 43616 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43615 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHEN P KYSER PA-C
Physician Assistant
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
KATE EHRET RN
Registered Nurse
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. MARK G ISSA DO
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. JOHN L SCHWARTZ MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3094
NORTHWEST OHIO CARDIOLOGY CONSULTANTS PC
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
CAMERON J. BURMEISTER MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
JACOB TYLER CORBETT PA-C
Physician Assistant
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3000
DR. EVERETT M BUSH MD
Internal Medicine (Cardiovascular Disease)
2940 N MCCORD RD
TOLEDO, OH 43615
Lucas County (419) 842-3094

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 Bialecki's NPI number?

The NPI number for Samantha Bialecki is 1790238988. It was assigned to this individual provider in the NPPES registry on July 25, 2016.

Where is Samantha Bialecki located?

Samantha Bialecki practices at 2940 N Mccord Rd, Toledo, OH 43615. The listed phone number is (419) 842-3000.

What is Samantha Bialecki's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Samantha Bialecki enrolled in Medicare?

Yes. Samantha Bialecki 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 Bialecki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bialecki reassigns Medicare benefits to 5 organizations: Promedica Northwest Ohio Cardiology Consultants, LLC (Toledo, OH), The Toledo Hospital (Sylvania, OH), Bay Park Community Hospital (Oregon, OH), Wood Health Company LLC (Bowling Green, OH) and Memorial Hospital (Fremont, OH). 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 Bialecki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Bialecki accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 3 other insurers list Samantha Bialecki 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 Bialecki affiliated with any hospitals?

According to CMS data, Samantha Bialecki is affiliated with Promedica Charles And Virginia Hickman Hospital, Wood County Hospital, Promedica Toledo Hospital, Memorial Hospital and Bay Park Community Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Bialecki was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.