DR. NICOLE LEE SAMUDIO APRN, CNP, DNP
NPI 1831712355
Nurse Practitioner - Family in Minneapolis, MN
About Dr. Nicole Lee Samudio Aprn, Cnp, Dnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. NICOLE LEE SAMUDIO APRN, CNP, DNP (NPI 1831712355) is an individual family provider in Minneapolis, Minnesota, licensed in Wisconsin (10216-33) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Riverwood Healthcare Center, and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
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
Dr. Nicole Lee Samudio Aprn, Cnp, Dnp 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.
Medicare Billing Reassignments
4Medicare enrollment records show Nicole Samudio reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 1,247 clinicians in this Medicare group
Baldwin, WI 54002
- Reassigned Medicare billing, Wisconsin enrollment
- 211 clinicians in this Medicare group
Garrison, MN 56450
- Reassigned Medicare billing, Minnesota enrollment
- Also billed through NPI 1942277835 (Minnesota)
- 164 clinicians in this Medicare group
Denver, CO 80202
- Reassigned Medicare billing, Minnesota and Wisconsin enrollments
- 4 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverwood Healthcare Center
Critical Access Hospitals · Aitkin, MNPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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 Nicole Samudio's NPI number?
The NPI number for Nicole Samudio is 1831712355. It was assigned to this individual provider in the NPPES registry on May 19, 2020. The provider is also known as Nicole Lee Howe.
Where is Nicole Samudio located?
Nicole Samudio practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-6963.
What is Nicole Samudio's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nicole Samudio enrolled in Medicare?
Yes. Nicole Samudio 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 Nicole Samudio's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Samudio reassigns Medicare benefits to 4 organizations: Hennepin Healthcare System, Inc (Minneapolis, MN), Baldwin Area Medical Center, Inc. (Baldwin, WI), Aitkin Community Hospital, Inc. (Garrison, MN) and Villagehealth Dm LLC (Denver, CO). 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 Nicole Samudio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Nicole Samudio affiliated with any hospitals?
According to CMS data, Nicole Samudio is affiliated with Riverwood Healthcare Center.
When was this NPI record last updated?
The NPPES record for Nicole Samudio was last updated on October 9, 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.
# Dr. Nicole Lee Samudio, APRN, CNP, DNP · NPI 1831712355
Family physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since May 19, 2020.
## Identity
- **NPI:** 1831712355 (Entity type: Individual)
- **Enumerated:** May 19, 2020
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 10216-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 PARK AVE, Minneapolis, MN 55415-1623
- **Phone:** (612) 873-6963
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Hennepin Healthcare System, Inc (NPI 1033138136, Minneapolis, MN); Baldwin Area Medical Center, Inc. (NPI 1467496133, Baldwin, WI); Aitkin Community Hospital, Inc. (NPI 1790815777, Garrison, MN); Villagehealth Dm LLC (NPI 1598273211, Denver, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** October 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1831712355) · Data from the CMS NPPES public registry.