DR. SAMANTHA E. KEALEY MD
NPI 1952538548
Emergency Medicine in Amery, WI

Active since June 22, 2009PECOS Enrolled
90.6/100
CMS Quality Rating
265 GRIFFIN ST. E., AMERY, WI 54001(612) 873-8701 Get Directions Write a Review

NPPES record last updated: January 16, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Samantha E. Kealey Md NPPES

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

DR. SAMANTHA E. KEALEY MD (NPI 1952538548) is an individual emergency medicine provider in Amery, Wisconsin, licensed in Minnesota (54470) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952538548
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. SAMANTHA E. KEALEYCredential: MD
Location Address265 GRIFFIN ST. E.Amery, WI 54001
Mailing Address800 E 28th StMinneapolis, MN 55407-3723 · (612) 863-6590
Sole ProprietorNo
Enumeration DateJune 22, 2009
Last NPPES UpdateJanuary 16, 2018
✔ NPI 1952538548 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in MN · 54470✔ Licensed in WI · 63932-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
265 GRIFFIN ST. E., Amery, WI 54001

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Samantha E. Kealey Md 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

3

Medicare enrollment records show Samantha Kealey reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neonatal
927 CHURCHILL ST W
Stillwater, MN 55082
  • Reassigned Medicare billing, Minnesota enrollment
  • 94 clinicians in this Medicare group
Ambulatory Surgical
233 RADIO DR
Woodbury, MN 55125
  • Reassigned Medicare billing, Minnesota enrollment
  • 393 clinicians in this Medicare group
Emergency Medicine
2829 UNIVERSITY AVE SE STE 730
Minneapolis, MN 55414
  • Reassigned Medicare billing, Minnesota enrollment
  • 218 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54001 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

90.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.32
Improvement Activities40

Other Providers at the Same Location NPPES

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

Emergency Medicine
265 GRIFFIN ST. E.
AMERY, WI 54001

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 Kealey's NPI number?

The NPI number for Samantha Kealey is 1952538548. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Samantha Kealey located?

Samantha Kealey practices at 265 Griffin St. E., Amery, WI 54001. The listed phone number is (612) 873-8701.

What is Samantha Kealey's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Samantha Kealey enrolled in Medicare?

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

Which organizations bill Medicare for Samantha Kealey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Kealey reassigns Medicare benefits to 3 organizations: Lakeview Memorial Hospital Association Inc. (Stillwater, MN), Regions Hospital (Woodbury, MN) and Emergency Care Consultants, PA (Minneapolis, MN). 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 Kealey'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 Kealey was last updated on January 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.