SAMANTHA JO DRISCOLL MD
NPI 1871282368
Family Medicine in Greeley, CO
About Samantha Jo Driscoll Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JO DRISCOLL MD (NPI 1871282368) is an individual family medicine provider in Greeley, Colorado, licensed in Colorado (DR.0073755) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS and is a graduate of University Of Texas Medical School At San Antonio (2023).
NPPES Registry Identity
Specialties & Licenses 2
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 (PECOS)
Samantha Jo Driscoll Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Driscoll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Greeley, CO 80634
- Reassigned Medicare billing, Colorado enrollment
- 163 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 80634 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.
GREELEY, CO 80634
GREELEY, CO 80634
GREELEY, CO 80634
GREELEY, CO 80634
GREELEY, CO 80634
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 Driscoll's NPI number?
The NPI number for Samantha Driscoll is 1871282368. It was assigned to this individual provider in the NPPES registry on May 2, 2023. The provider is also known as Samantha Jo Schroeder.
Where is Samantha Driscoll located?
Samantha Driscoll practices at 1600 23rd Ave, Greeley, CO 80634. The listed phone number is (262) 331-4263.
What is Samantha Driscoll's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Samantha Driscoll enrolled in Medicare?
Yes. Samantha Driscoll is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Driscoll's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Driscoll reassigns Medicare benefits to Banner Hospital Based Physicians Colorado LLC (Greeley, CO). 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 Driscoll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Samantha Driscoll was last updated on October 6, 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.
# Samantha Jo Driscoll, MD · NPI 1871282368
Family Medicine physician in Greeley, Colorado. Individual provider, active in the CMS NPPES registry since May 2, 2023.
## Identity
- **NPI:** 1871282368 (Entity type: Individual)
- **Enumerated:** May 2, 2023
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** DR.0073755 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1600 23RD AVE, Greeley, CO 80634-6070
- **Phone:** (262) 331-4263
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Banner Hospital Based Physicians Colorado LLC (NPI 1821336769, Greeley, CO), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Texas Medical School At San Antonio, class of 2023
## Record status
- **NPPES last updated:** October 6, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1871282368) · Data from the CMS NPPES public registry.