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SAMANTHA STIMMEL MD
NPI 1801274725
Family Medicine in Newark, NJ

Active since May 12, 2015PECOS Enrolled
249 UNIVERSITY AVE STE 104, NEWARK, NJ 07102(973) 353-5232 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 19, 2024, Dec 16, 2019 (2 updates tracked since 2019).

About Samantha Stimmel Md NPPES

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

SAMANTHA STIMMEL MD (NPI 1801274725) is an individual family medicine provider in Newark, New Jersey, licensed in New York (300331) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1801274725
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSAMANTHA STIMMELCredential: MD
Location Address249 UNIVERSITY AVE STE 104Newark, NJ 07102-1808
Mailing Address729 7th Ave Fl 12New York, NY 10019-6892
Phone(973) 353-5232
Sole ProprietorYes
Enumeration DateMay 12, 2015
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1801274725 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 300331
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
249 UNIVERSITY AVE STE 104, Newark, NJ 07102
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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 Stimmel Md 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.

Medicare Billing Reassignment

Medicare enrollment records show Samantha Stimmel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Physician Associates Of New Jersey Inc
0.9 mi
Family Medicine
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1467462168 (973) 972-3465

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 07102 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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 Stimmel's NPI number?

The NPI number for Samantha Stimmel is 1801274725. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Samantha Stimmel located?

Samantha Stimmel practices at 249 University Ave Ste 104, Newark, NJ 07102. The listed phone number is (973) 353-5232.

What is Samantha Stimmel's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Samantha Stimmel enrolled in Medicare?

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

Which organization bills Medicare for Samantha Stimmel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Stimmel reassigns Medicare benefits to University Physician Associates Of New Jersey Inc (Newark, NJ). 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 Stimmel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samantha Stimmel accept?

Health plans from Oscar Health list Samantha Stimmel 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 Stimmel was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.