SAMANTHA NOLAN NP
NPI 1912604703
Nurse Practitioner - Adult Health in Staten Island, NY
About Samantha Nolan Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA NOLAN NP (NPI 1912604703) is an individual adult health provider in Staten Island, New York, licensed in New York (F310991-01) and active in the NPI registry since February 2023. She is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (2021).
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 (PECOS)
Samantha Nolan Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Nolan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Boynton Beach, FL 33426
- Reassigned Medicare billing, New York enrollment
- 7,712 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.
Nyu Langone Hospitals
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10314 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
STATEN ISLAND, NY 10314
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 Nolan's NPI number?
The NPI number for Samantha Nolan is 1912604703. It was assigned to this individual provider in the NPPES registry on February 13, 2023.
Where is Samantha Nolan located?
Samantha Nolan practices at 2801 Richmond Avenue, Staten Island, NY 10314. The listed phone number is (332) 963-0000.
What is Samantha Nolan's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Samantha Nolan enrolled in Medicare?
Yes. Samantha Nolan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Nolan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Nolan reassigns Medicare benefits to New York University (Boynton Beach, FL). 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 Nolan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samantha Nolan affiliated with any hospitals?
According to CMS data, Samantha Nolan is affiliated with Nyu Langone Hospitals.
When was this NPI record last updated?
The NPPES record for Samantha Nolan was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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 Nolan, NP · NPI 1912604703
Adult Health physician in Staten Island, New York. Individual provider, active in the CMS NPPES registry since February 13, 2023.
## Identity
- **NPI:** 1912604703 (Entity type: Individual)
- **Enumerated:** February 13, 2023
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** F310991-01 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 2801 RICHMOND AVENUE, Staten Island, NY 10314
- **Phone:** (332) 963-0000
## 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:** New York University (NPI 1285826438, Boynton Beach, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** September 16, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1912604703) · Data from the CMS NPPES public registry.