SAMANTHA ANN CAPISTRANT PMHNP-BC
NPI 1962130302
Nurse Practitioner - Psychiatric/Mental Health in Berea, KY

Active since August 12, 2022PECOS EnrolledAccepts Medicare Assignment
208 KIDD DR, BEREA, KY 40403(859) 428-7862(859) 999-7869 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 1, 2026, Aug 12, 2022 (2 updates tracked since 2022).

About Samantha Ann Capistrant Pmhnp-bc NPPES

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

SAMANTHA ANN CAPISTRANT PMHNP-BC (NPI 1962130302) is an individual psychiatric/mental health provider in Berea, Kentucky, licensed in Kentucky (4053788) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and maintains a secondary practice location in Northampton.

NPPES Registry Identity

NPI1962130302
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA ANN CAPISTRANTCredential: PMHNP-BC
Location Address208 KIDD DRBerea, KY 40403-9593
Mailing AddressPo Box 802Berea, KY 40403-0802 · (859) 428-7862 · Fax (859) 999-7869
Fax(859) 999-7869
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 12, 2022
Last NPPES UpdateJune 1, 20262 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
NPI 1962130302 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses Licensed in KY · 4053788 Licensed in MA · RN2302151
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN2302151 (MA)
208 KIDD DR, Berea, KY 40403

Secondary Practice Location 1

Location 18 Atwood DrNorthampton, MA 01060-4266 · Phone (413) 773-1314

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

Samantha Ann Capistrant Pmhnp-bc 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 ID5193198505
PECOS Enrollment IDI20230306002939
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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services33 patients

Hospital Affiliations CMS Care Compare 2

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220015
Location30 Locust StreetNorthampton, MA 01060 · Hampshire County
Emergency services Birthing friendly

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number220046
Location725 North StreetPittsfield, MA 01201 · Berkshire County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40403 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 16

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

Counselor (Mental Health)
208 KIDD DR
BEREA, KY 40403
Hospice Care, Community Based
208 KIDD DR
BEREA, KY 40403
Case Manager/Care Coordinator
208 KIDD DR
BEREA, KY 40403
Counselor (Mental Health)
208 KIDD DR
BEREA, KY 40403
Counselor (Mental Health)
208 KIDD DR
BEREA, KY 40403
Case Manager/Care Coordinator
208 KIDD DR
BEREA, KY 40403
Counselor (Mental Health)
208 KIDD DR
BEREA, KY 40403
Counselor (Mental Health)
208 KIDD DR
BEREA, KY 40403

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 Capistrant's NPI number?

The NPI number for Samantha Capistrant is 1962130302. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Samantha Capistrant located?

Samantha Capistrant practices at 208 Kidd Dr, Berea, KY 40403. The listed phone number is (859) 428-7862.

What is Samantha Capistrant's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Capistrant enrolled in Medicare?

Yes. Samantha Capistrant 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.

Is Samantha Capistrant affiliated with any hospitals?

According to CMS data, Samantha Capistrant is affiliated with Cooley Dickinson Hospital Inc,the and Berkshire Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Capistrant was last updated on June 1, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.