SAMANTHA REBEOR
NPI 1891550455
Nurse Practitioner in Syracuse, NY
About Samantha Rebeor NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA REBEOR (NPI 1891550455) is an individual nurse practitioner in Syracuse, New York, licensed in New York (406118) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS, is affiliated with St Joseph's Hospital Health Center, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
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 Rebeor 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 Reassignment
Medicare enrollment records show Samantha Rebeor reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Syracuse, NY 13203
- Reassigned Medicare billing, New York enrollment
- 369 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.
St Joseph's Hospital Health Center
Acute Care Hospitals · Syracuse, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 13203 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.
SYRACUSE, NY 13203
SYRACUSE, NY 13203
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 Rebeor's NPI number?
The NPI number for Samantha Rebeor is 1891550455. It was assigned to this individual provider in the NPPES registry on February 13, 2024.
Where is Samantha Rebeor located?
Samantha Rebeor practices at 301 Prospect Ave, Syracuse, NY 13203. The listed phone number is (315) 427-6469.
What is Samantha Rebeor's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Rebeor enrolled in Medicare?
Yes. Samantha Rebeor 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 organization bills Medicare for Samantha Rebeor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Rebeor reassigns Medicare benefits to St Josephs Hospital Health Center (Syracuse, NY). 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 Rebeor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Rebeor affiliated with any hospitals?
According to CMS data, Samantha Rebeor is affiliated with St Joseph's Hospital Health Center.
When was this NPI record last updated?
The NPPES record for Samantha Rebeor was last updated on July 22, 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 Rebeor · NPI 1891550455
Nurse Practitioner physician in Syracuse, New York. Individual provider, active in the CMS NPPES registry since February 13, 2024.
## Identity
- **NPI:** 1891550455 (Entity type: Individual)
- **Enumerated:** February 13, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 406118 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 301 PROSPECT AVE, Syracuse, NY 13203-1807
- **Phone:** (315) 427-6469
## 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:** St Josephs Hospital Health Center (NPI 1508815333, Syracuse, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1891550455) · Data from the CMS NPPES public registry.