SAMANTHA NICHOLE MOGEN LICSW
NPI 1942990379
Social Worker in Andover, MN
About Samantha Nichole Mogen Licsw NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA NICHOLE MOGEN LICSW (NPI 1942990379) is an individual social worker in Andover, Minnesota, licensed in Minnesota (22141) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Accepted Insurance
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 Nichole Mogen Licsw 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 Mogen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Coon Rapids, MN 55433
- Reassigned Medicare billing, Minnesota enrollment
- 2,274 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.
Areas of Expertise CMS Part B claims
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.
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.
ANDOVER, MN 55304
ANDOVER, MN 55304
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 Mogen's NPI number?
The NPI number for Samantha Mogen is 1942990379. It was assigned to this individual provider in the NPPES registry on May 9, 2023.
Where is Samantha Mogen located?
Samantha Mogen practices at 15245 Bluebird St NW, Andover, MN 55304. The listed phone number is (763) 587-4200.
What is Samantha Mogen's specialty?
The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.
Is Samantha Mogen enrolled in Medicare?
Yes. Samantha Mogen 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 Mogen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mogen reassigns Medicare benefits to Group Health, Inc. (Coon Rapids, MN). 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 Mogen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Mogen accept?
Health plans from HealthPartners list Samantha Mogen 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.
When was this NPI record last updated?
The NPPES record for Samantha Mogen was last updated on April 11, 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 Nichole Mogen, LICSW · NPI 1942990379
Social Worker provider in Andover, Minnesota. Individual provider, active in the CMS NPPES registry since May 9, 2023.
## Identity
- **NPI:** 1942990379 (Entity type: Individual)
- **Enumerated:** May 9, 2023
- **Primary specialty:** Social Worker · taxonomy 104100000X
- **State license:** 22141 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 15245 BLUEBIRD ST NW, Andover, MN 55304-3538
- **Phone:** (763) 587-4200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** Group Health, Inc. (NPI 1184779811, Coon Rapids, MN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** April 11, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1942990379) · Data from the CMS NPPES public registry.