MRS. SAMANTHA ANN STAVINOHA RN, BSN, NNP-BC
NPI 1992034524
Nurse Practitioner - Neonatal in San Antonio, TX

Q: What is Samantha Stavinoha's NPI number?

The NPI number for Samantha Stavinoha is 1992034524. It was assigned to this individual provider in the NPPES registry on December 10, 2009.

Q: What is Samantha Stavinoha's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Neonatal, with taxonomy code 363LN0000X.

Active since December 10, 2009PECOS Enrolled

4502 MEDICAL DR, SAN ANTONIO, TX 78229(210) 358-1598 Get Directions Write a Review

NPPES record last updated: June 13, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mrs. Samantha Ann Stavinoha Rn, Bsn, Nnp-bc NPPES

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

MRS. SAMANTHA ANN STAVINOHA RN, BSN, NNP-BC (NPI 1992034524) is an individual neonatal provider in San Antonio, Texas, licensed in Texas (AP118901) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1992034524

Entity TypeIndividualFemale

Primary Taxonomy363LN0000X

Provider Legal NameMRS. SAMANTHA ANN STAVINOHACredential: RN, BSN, NNP-BC

Location Address4502 MEDICAL DRSan Antonio, TX 78229-4402

Mailing Address5430 Fredericksburg Road, Suite 508San Antonio, TX 78229-3561 · (210) 541-8281 · Fax (210) 541-9123

Phone(210) 358-1598

Sole ProprietorNo

Enumeration DateDecember 10, 2009

Last NPPES UpdateJune 13, 2017

✔ NPI 1992034524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · NeonatalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LN0000X

License✔ Licensed in TX · AP118901

Also ListedRegistered NurseTaxonomy 163W00000X · License 703269 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4502 MEDICAL DR, San Antonio, TX 78229

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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)

Mrs. Samantha Ann Stavinoha Rn, Bsn, Nnp-bc 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78229 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

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

EDUARDO N. POLLONO MD

Internal Medicine (Cardiovascular Disease)