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EMILY SAMBORN NP
NPI 1942664024
Nurse Practitioner - Gerontology in Plymouth, MN

Active since April 05, 2016PECOS EnrolledAccepts Medicare Assignment
83.53/100
CMS Quality Rating
2805 CAMPUS DR STE 115, PLYMOUTH, MN 55441(763) 577-7800(763) 577-7855 Get Directions Write a Review

NPPES record last updated: December 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 5, 2022, Jul 13, 2016 (2 updates tracked since 2016).

About Emily Samborn Np NPPES

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

EMILY SAMBORN NP (NPI 1942664024) is an individual gerontology provider in Plymouth, Minnesota, licensed in Minnesota (CNP4458) and active in the NPI registry since April 2016. She is enrolled in Medicare PECOS, is affiliated with Abbott Northwestern Hospital, and maintains a secondary practice location in St Louis Park.

NPPES Registry Identity

NPI1942664024
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameEMILY SAMBORNCredential: NP
Location Address2805 CAMPUS DR STE 115Plymouth, MN 55441-2677
Mailing AddressPo Box 43, Mr 10860Minneapolis, MN 55440-0043 · (612) 262-1166 · Fax (612) 262-9035
Phone(763) 577-7800
Fax(763) 577-7855
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 5, 2016
Last NPPES UpdateDecember 5, 20222 updates tracked since enumeration
NPPES CertifiedDecember 5, 2022
✔ NPI 1942664024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in MN · CNP4458
2805 CAMPUS DR STE 115, Plymouth, MN 55441
Open in Google Maps ↗

Secondary Practice Location 1

Location 15525 Cedar Lake Rd SSt Louis Park, MN 55416-1420 · Phone (952) 541-7157 · Fax (952) 544-0587

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Emily Samborn Np 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.

PECOS PAC ID4587962147
PECOS Enrollment IDI20160414001162
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.

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.

Acupuncture, each additional 15 minutes 97811
Acupuncture is a traditional Chinese therapy that involves inserting thin needles at specific points on the body to balance energy flow. This service refers to each additional 15-minute session beyond your initial treatment. It may enhance the therapeutic effects and provide deeper relief from symptoms.
130 services36 patients
Acupuncture, initial 15 minutes 97810
Acupuncture is a traditional therapy where thin needles are inserted into specific points on your body. This initial 15-minute session aims to balance energy flow, relieve pain, and improve overall health. It's generally painless and considered safe.
104 services36 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services29 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Abbott Northwestern Hospital

Acute Care Hospitals · Minneapolis, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240057
Location800 East 28th StreetMinneapolis, MN 55407 · Hennepin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55441 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
$85.82 typical visit price
range $56.00 – $168.28
Typical copayment $21.45 (range $14.00 – $42.07)
Most-billed visit code 99203
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Other Providers at the Same Location NPPES 5

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

ERIC MICHAEL THOMPSON MD
Family Medicine
2805 CAMPUS DR STE 115
PLYMOUTH, MN 55441
Hennepin County (763) 577-7800
JENNIFER LYNN SUNDHEIM RD
Dietitian, Registered
2805 CAMPUS DR STE 115
MINNEAPOLIS, MN 55441
Hennepin County (763) 577-7550
JANELLE FUCHS
Dietitian, Registered
2805 CAMPUS DR STE 115
PLYMOUTH, MN 55441
Hennepin County (763) 577-7800
ALLINA HEALTH SYSTEM
Family Medicine
2805 CAMPUS DR STE 115
PLYMOUTH, MN 55441
Hennepin County (763) 577-7800
JENIKKA LEE TOMASHEK FNP-BC
Nurse Practitioner (Family)
2805 CAMPUS DR STE 115
PLYMOUTH, MN 55441
Hennepin County (763) 577-7800

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 Emily Samborn's NPI number?

The NPI number for Emily Samborn is 1942664024. It was assigned to this individual provider in the NPPES registry on April 5, 2016.

Where is Emily Samborn located?

Emily Samborn practices at 2805 Campus Dr Ste 115, Plymouth, MN 55441. The listed phone number is (763) 577-7800.

What is Emily Samborn's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Is Emily Samborn enrolled in Medicare?

Yes. Emily Samborn 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.

What insurance does Emily Samborn accept?

Health plans from HealthPartners and Medica list Emily Samborn as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Emily Samborn affiliated with any hospitals?

According to CMS data, Emily Samborn is affiliated with Abbott Northwestern Hospital.

When was this NPI record last updated?

The NPPES record for Emily Samborn was last updated on December 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS; the most recent full sync was completed on July 26, 2026. Anyone can also request an on-demand re-check of this record against the live CMS registry, directly from this page.