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SAMANTHA LYNN KAPUSCINSKI CRNP
NPI 1821459066
Nurse Practitioner - Adult Health in Bemus Point, NY

Active since March 16, 2016PECOS EnrolledAccepts Medicare Assignment
4936 MAIN ST, BEMUS POINT, NY 14712(716) 386-2414(716) 386-2437 Get Directions Write a Review

NPPES record last updated: May 21, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 21, 2026, May 1, 2026, Jun 4, 2025 and 6 more (9 updates tracked since 2016).

About Samantha Lynn Kapuscinski Crnp NPPES

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

SAMANTHA LYNN KAPUSCINSKI CRNP (NPI 1821459066) is an individual adult health provider in Bemus Point, New York, licensed in New York (307617) and active in the NPI registry since March 2016. She is enrolled in Medicare PECOS, is affiliated with Westfield Memorial Hospital, Inc, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1821459066
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSAMANTHA LYNN KAPUSCINSKICredential: CRNP
Location Address4936 MAIN STBemus Point, NY 14712-9667
Mailing Address4936 Main StBemus Point, NY 14712-9667 · (716) 386-2414 · Fax (716) 386-2437
Phone(716) 386-2414
Fax(716) 386-2437
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateMarch 16, 2016
Last NPPES UpdateMay 21, 20269 updates tracked since enumeration
NPPES CertifiedMay 21, 2026
✔ NPI 1821459066 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 NY · 307617
4936 MAIN ST, Bemus Point, NY 14712
Open in Google Maps ↗

Other Identifiers 1

Medicaid04383088NY

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 Lynn Kapuscinski Crnp 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 ID6608162599
PECOS Enrollment IDI20160831002655
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

6

Medicare enrollment records show Samantha Kapuscinski reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Chautauqua Medical Practice, P.C.
Same address
Family Medicine
4936 MAIN ST
Bemus Point, NY 14712
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Chautauqua Medical Practice PC
  • 154 clinicians in this Medicare group
NPI 1922181767 (716) 386-2414
Great Lakes Physician Practice PC
8.6 mi
Internal Medicine
15 S MAIN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 233 clinicians in this Medicare group
NPI 1730599176 (716) 488-1877
Family Health Medical Services PLLC
8.9 mi
Family Medicine
103 ALLEN ST
Jamestown, NY 14701
  • Reassigned Medicare billing, New York enrollment
  • 11 clinicians in this Medicare group
NPI 1619072204 (716) 338-0022
Westfield Family Physicians,pc
15 mi
Primary Care
138 E MAIN ST
Westfield, NY 14787
  • Reassigned Medicare billing, New York enrollment
  • 16 clinicians in this Medicare group
NPI 1245263557 (716) 326-4678
Buffalo Medical Group, P.C.
65 mi
Family Medicine
325 ESSJAY RD, 4TH FLOOR ADMIN
Williamsville, NY 14221
  • Reassigned Medicare billing, New York enrollment
  • 344 clinicians in this Medicare group
NPI 1881659506 (716) 630-2500
Statline Medical PC
291 mi
Internal Medicine
3 SONOMA RD
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 51 clinicians in this Medicare group
NPI 1942872759 (914) 215-4748

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 2

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.

Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes 99349
An established patient home visit is a medical appointment conducted at your home, typically lasting around 40 minutes. This service is ideal for patients who may find it difficult to travel to a healthcare facility. During this visit, a healthcare professional will evaluate your health status, manage your care, and answer any health-related questions you may have.
103 services46 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Westfield Memorial Hospital, Inc

Acute Care Hospitals · Westfield, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number330166
Location189 East Main StreetWestfield, NY 14787 · Chautauqua County
Emergency services

Brooks-Tlc Hospital System, Inc

Acute Care Hospitals · Dunkirk, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330229
Location529 Central AvenueDunkirk, NY 14048 · Chautauqua County
Emergency services

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390009
Location232 West 25th StreetErie, PA 16544 · Erie County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14712 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 4

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

PAUL S HOLLEY M.D.
Family Medicine
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
HOLLY ALEXIS REED FNP
Nurse Practitioner (Family)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
CATHERINE A GILLESPIE RPAC
Physician Assistant (Medical)
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414
CHAUTAUQUA MEDICAL PRACTICE, P.C.
Family Medicine
4936 MAIN ST
BEMUS POINT, NY 14712
Chautauqua County (716) 386-2414

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 Kapuscinski's NPI number?

The NPI number for Samantha Kapuscinski is 1821459066. It was assigned to this individual provider in the NPPES registry on March 16, 2016.

Where is Samantha Kapuscinski located?

Samantha Kapuscinski practices at 4936 Main St, Bemus Point, NY 14712. The listed phone number is (716) 386-2414.

What is Samantha Kapuscinski's specialty?

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

Is Samantha Kapuscinski enrolled in Medicare?

Yes. Samantha Kapuscinski 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 Kapuscinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kapuscinski reassigns Medicare benefits to 6 organizations: Chautauqua Medical Practice, P.C. (Bemus Point, NY), Great Lakes Physician Practice PC (Jamestown, NY), Family Health Medical Services PLLC (Jamestown, NY), Westfield Family Physicians,pc (Westfield, NY), Buffalo Medical Group, P.C. (Williamsville, NY) and 1 more organization, listed in the Medicare section above. 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 Kapuscinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Samantha Kapuscinski affiliated with any hospitals?

According to CMS data, Samantha Kapuscinski is affiliated with Westfield Memorial Hospital, Inc, Brooks-Tlc Hospital System, Inc and Saint Vincent Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Kapuscinski was last updated on May 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.