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SAMANTHA L MUNRO
NPI 1942089768
Nurse Practitioner - Family in Maryville, IL

Active since September 22, 2023PECOS Enrolled
2236 VADALABENE DR, MARYVILLE, IL 62062(618) 726-2229 Get Directions Write a Review

NPPES record last updated: September 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha L Munro NPPES

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

SAMANTHA L MUNRO (NPI 1942089768) is an individual family provider in Maryville, Illinois, licensed in Illinois (209028045) and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1942089768
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA L MUNRO
Location Address2236 VADALABENE DRMaryville, IL 62062-5844
Mailing Address726 Sunset BlvdOfallon, IL 62269 · (618) 726-2229
Phone(618) 726-2229
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 22, 2023
Last NPPES UpdateSeptember 25, 2023
NPPES CertifiedSeptember 25, 2023
✔ NPI 1942089768 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 IL · 209028045
2236 VADALABENE DR, Maryville, IL 62062
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha L Munro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID547778854
PECOS Enrollment IDI20250806001142
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62062 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
$88.44 typical visit price
range $56.28 – $173.35
Typical copayment $22.11 (range $14.07 – $43.33)
Most-billed visit code 99203
Established Patient
$99.71 typical visit price
range $17.51 – $139.99
Typical copayment $24.92 (range $4.37 – $34.99)
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.

JENNIFER D WESSELMAN-WILLIAMS NP
Nurse Practitioner
2236 VADALABENE DR
MARYVILLE, IL 62062
Madison County (618) 726-2229
DR. MICHAEL E MANDIS MD
Internal Medicine
2236 VADALABENE DR, SUITE 2
MARYVILLE, IL 62062
Madison County (618) 288-6136

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 Munro's NPI number?

The NPI number for Samantha Munro is 1942089768. It was assigned to this individual provider in the NPPES registry on September 22, 2023.

Where is Samantha Munro located?

Samantha Munro practices at 2236 Vadalabene Dr, Maryville, IL 62062. The listed phone number is (618) 726-2229.

What is Samantha Munro's specialty?

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

Is Samantha Munro enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Munro was last updated on September 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.