SAMANTHA ANNE HARRISON NP
NPI 1861866923
Nurse Practitioner - Family in Iron Mountain, MI

Q: What is Samantha Harrison's NPI number?

The NPI number for Samantha Harrison is 1861866923. It was assigned to this individual provider in the NPPES registry on November 30, 2015.

Q: What is Samantha Harrison's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Harrison was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since November 30, 2015PECOS EnrolledAccepts Medicare Assignment

440 WOODWARD AVE, IRON MOUNTAIN, MI 49801(906) 776-9040(906) 774-5950 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 5, 2023, Mar 6, 2019, Nov 30, 2015 (3 updates tracked since 2015).

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About Samantha Anne Harrison Np NPPES

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

SAMANTHA ANNE HARRISON NP (NPI 1861866923) is an individual family provider in Iron Mountain, Michigan, licensed in Michigan (4704316935) and active in the NPI registry since November 2015. She is enrolled in Medicare PECOS, is affiliated with Memorial Hospital And Health Care Center, and maintains a secondary practice location in Iron Mountain.

NPPES Registry Identity

NPI1861866923

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA ANNE HARRISONCredential: NP

Location Address440 WOODWARD AVEIron Mountain, MI 49801-4631

Mailing AddressPo Box 22487Green Bay, WI 54305-2487 · (920) 445-7222 · Fax (920) 445-7289

Phone(906) 776-9040

Fax(906) 774-5950

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateNovember 30, 2015

Last NPPES UpdateJuly 5, 20233 updates tracked since enumeration

NPPES CertifiedJuly 5, 2023

✔ NPI 1861866923 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MI · 4704316935

Also ListedNurse PractitionerTaxonomy 363L00000X · License 71013993A (IN)

440 WOODWARD AVE, Iron Mountain, MI 49801

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Secondary Practice Location 1

Location 11721 S. Stephenson AveIron Mountain, MI 49801-3637 · Phone (906) 776-5800 · Fax (906) 228-0200

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 Anne Harrison Np 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 ID3779885322

PECOS Enrollment IDI20230710002217

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

Medicare enrollment records show Samantha Harrison reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Deaconess Memorial Medical Center Inc

490 mi

Rural Health

5066 N 900 E
Montgomery, IN 47558

Reassigned Medicare billing, Indiana enrollment
Also billed through NPI 1881843522 (Indiana)
172 clinicians in this Medicare group

NPI 1730420829 (812) 486-3396

Deaconess Clinic Inc

496 mi

Pediatrics

600 S STATE ROAD 57
Washington, IN 47501

Reassigned Medicare billing, Indiana enrollment
444 clinicians in this Medicare group

NPI 1356132310 (812) 674-4040

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.

Memorial Hospital And Health Care Center

Acute Care Hospitals · Jasper, IN

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number150115

Location800 W 9th StJasper, IN 47546 · Dubois County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49801 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $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.

DANIEL BRIAN JOHNSON NP

Nurse Practitioner (Family)