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SAMANTHA L. CHADERJIAN FNP-C
NPI 1891575031
Nurse Practitioner - Family in Liverpool, NY

Active since October 04, 2023PECOS Enrolled
5112 W TAFT RD, LIVERPOOL, NY 13088(315) 701-2170 Get Directions Write a Review

NPPES record last updated: November 6, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 6, 2023, Oct 4, 2023 (2 updates tracked since 2023).

About Samantha L. Chaderjian Fnp-c NPPES

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

SAMANTHA L. CHADERJIAN FNP-C (NPI 1891575031) is an individual family provider in Liverpool, New York, licensed in New York (F352039-01) and active in the NPI registry since October 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891575031
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA L. CHADERJIANCredential: FNP-C
Location Address5112 W TAFT RDLiverpool, NY 13088-4868
Mailing Address5112 West Taft Rd, Ste JLiverpool, NY 13088 · (315) 701-2170
Phone(315) 701-2170
Sole ProprietorNo
Enumeration DateOctober 4, 2023
Last NPPES UpdateNovember 6, 20232 updates tracked since enumeration
NPPES CertifiedOctober 4, 2023
✔ NPI 1891575031 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F352039-01
5112 W TAFT RD, Liverpool, NY 13088
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha L. Chaderjian Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In
5.6 mi
Internal Medicine
750 E ADAMS ST
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 434 clinicians in this Medicare group
NPI 1063468239 (315) 464-4505
Crouse Health Hospital Inc
5.6 mi
Hospitalist
736 IRVING AVE
Syracuse, NY 13210
  • Reassigned Medicare billing, New York enrollment
  • 189 clinicians in this Medicare group
NPI 1841340205 (315) 470-7111

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
212 services199 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
152 services147 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
29 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13088 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 17

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

GASTROENTEROLOGY & HEPATOLOGY OF CENTRAL NEW YORK, PC
Internal Medicine (Gastroenterology)
5112 W TAFT RD, SUITE H
LIVERPOOL, NY 13088
Onondaga County (315) 452-3235
DIGESTIVE DISEASE CENTER OF CENTRAL NEW YORK, LLC
Clinic/Center (Ambulatory Surgical)
5112 W TAFT RD, SUITE E
LIVERPOOL, NY 13088
Onondaga County (315) 410-7400
MATTHEW ROMANO PA-C
Physician Assistant
5112 W TAFT RD, SUITE H
LIVERPOOL, NY 13088
Onondaga County (315) 452-3235
CAROL A CURRERI NP
Nurse Practitioner (Family)
5112 W TAFT RD, SUITE H
LIVERPOOL, NY 13088
Onondaga County (315) 452-3235
JUDY A DILIBERTO PA
Physician Assistant
5112 W TAFT RD, SUITE H
LIVERPOOL, NY 13088
Onondaga County (315) 452-3235
MERIDIAN CHIROPRACTIC & WELLNESS, PC
Chiropractor (Neurology)
5112 W TAFT RD, SUITE 1B
LIVERPOOL, NY 13088
Onondaga County (315) 452-9420
DR. SARA M GOSSELIN M.D.
Internal Medicine (Gastroenterology)
5112 W TAFT RD, SUITE H
LIVERPOOL, NY 13088
Onondaga County (315) 452-3235
ADVANCED ENDODONTICS PC
Dentist (Endodontics)
5112 W TAFT RD, SUITE 'R'
LIVERPOOL, NY 13088
Onondaga County (315) 453-3636

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 Chaderjian's NPI number?

The NPI number for Samantha Chaderjian is 1891575031. It was assigned to this individual provider in the NPPES registry on October 4, 2023.

Where is Samantha Chaderjian located?

Samantha Chaderjian practices at 5112 W Taft Rd, Liverpool, NY 13088. The listed phone number is (315) 701-2170.

What is Samantha Chaderjian's specialty?

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

Is Samantha Chaderjian enrolled in Medicare?

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

Which organizations bill Medicare for Samantha Chaderjian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Chaderjian reassigns Medicare benefits to 2 organizations: Department Of Medicine Medical Serv Grp At Suny Hlth Sci Ctr Syr In (Syracuse, NY) and Crouse Health Hospital Inc (Syracuse, NY). 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 Samantha Chaderjian'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 Chaderjian was last updated on November 6, 2023. 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.