SAMANTHA LYNNE WYLIE NP
NPI 1962954354
Nurse Practitioner - Pediatrics in Grand Rapids, MI
About Samantha Lynne Wylie Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA LYNNE WYLIE NP (NPI 1962954354) is an individual pediatrics provider in Grand Rapids, Michigan, licensed in Michigan (4704265506) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
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 Lynne Wylie Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
GRAND RAPIDS, MI 49503
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 Wylie's NPI number?
The NPI number for Samantha Wylie is 1962954354. It was assigned to this individual provider in the NPPES registry on November 1, 2016.
Where is Samantha Wylie located?
Samantha Wylie practices at 35 Michigan St NE Ste 3003, Grand Rapids, MI 49503. The listed phone number is (616) 267-2570.
What is Samantha Wylie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Samantha Wylie enrolled in Medicare?
Yes. Samantha Wylie is registered in the Medicare PECOS enrollment system.
What insurance does Samantha Wylie accept?
Health plans from McLaren Health Plan Community and Priority Health list Samantha Wylie 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 Wylie was last updated on June 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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 Lynne Wylie, NP · NPI 1962954354
Pediatrics physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since November 1, 2016.
## Identity
- **NPI:** 1962954354 (Entity type: Individual)
- **Enumerated:** November 1, 2016
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** 4704265506 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 35 MICHIGAN ST NE STE 3003, Grand Rapids, MI 49503-2528
- **Phone:** (616) 267-2570
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for durable medical equipment, power mobility devices
## Record status
- **NPPES last updated:** June 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1962954354) · Data from the CMS NPPES public registry.