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SAMANTHA BUGNO DNP, CPNP-PC
NPI 1871395665
Nurse Practitioner - Pediatrics in Chicago, IL

Active since March 25, 2025PECOS Enrolled
211 E GRAND AVE, CHICAGO, IL 60611(312) 229-0170(312) 600-9072 Get Directions Write a Review

NPPES record last updated: May 20, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 20, 2026, Mar 18, 2026, Mar 25, 2025 (3 updates tracked since 2025).

About Samantha Bugno Dnp, Cpnp-pc NPPES

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

SAMANTHA BUGNO DNP, CPNP-PC (NPI 1871395665) is an individual pediatrics provider in Chicago, Illinois, licensed in Illinois (209.031024) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Naperville, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1871395665
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameSAMANTHA BUGNOCredential: DNP, CPNP-PC
Location Address211 E GRAND AVEChicago, IL 60611-3311
Mailing Address211 E Grand AveChicago, IL 60611-3311 · (312) 229-0170
Phone(312) 229-0170
Fax(312) 600-9072
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 25, 2025
Last NPPES UpdateMay 20, 20263 updates tracked since enumeration
NPPES CertifiedMay 20, 2026
✔ NPI 1871395665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in IL · 209.031024
211 E GRAND AVE, Chicago, IL 60611
Open in Google Maps ↗

Secondary Practice Location 1

Location 17S721 Route 53Naperville, IL 60540-9528 · Phone (630) 271-9155 · Fax (630) 271-9186

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Bugno Dnp, Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5294299095
PECOS Enrollment IDI20260904002234
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 Bugno reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lurie Children's Medical Group Inc
0.4 mi
Pediatrics
225 E CHICAGO AVE
Chicago, IL 60611
  • Reassigned Medicare billing, Illinois enrollment
  • 826 clinicians in this Medicare group
NPI 1518064716 (312) 227-6412

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 60611 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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 2

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

MRS. ABIGAIL LAUREN RILEY CPNP, APNP
Nurse Practitioner
211 E GRAND AVE, 6TH FLOOR
CHICAGO, IL 60611
Cook County (312) 229-0170
ALMOST HOME KIDS
Skilled Nursing Facility (Nursing Care, Pediatric)
211 E GRAND AVE
CHICAGO, IL 60611
Cook County (312) 226-0170

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 Bugno's NPI number?

The NPI number for Samantha Bugno is 1871395665. It was assigned to this individual provider in the NPPES registry on March 25, 2025.

Where is Samantha Bugno located?

Samantha Bugno practices at 211 E Grand Ave, Chicago, IL 60611. The listed phone number is (312) 229-0170.

What is Samantha Bugno's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Samantha Bugno enrolled in Medicare?

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

Which organization bills Medicare for Samantha Bugno's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bugno reassigns Medicare benefits to Lurie Children's Medical Group Inc (Chicago, IL). 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 Bugno'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 Bugno was last updated on May 20, 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.