Individual provider Active NPI

Samantha Herdt, CRNP

  • Family Nurse Practitioner
  • Scottdale, PA
National Provider Identifier
1003621384
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP031994 Issued in PA
Practice address
103 Market St
Scottdale, PA 15683-2047
Phone
(724) 220-5422
NPI assigned
Feb 12, 2025
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP031994 PA Primary
Registered Nurse 163W00000X RN709340 PA

Addresses

Primary practice location

103 Market St
Scottdale, PA 15683-2047

Mailing address

250 Long Ridge Dr
Coraopolis, PA 15108-4045
Phone (615) 785-1515

Other practice location 1

2285 Brodhead Rd
Aliquippa, PA 15001-4674
Phone (814) 503-8070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250318000991 PA Practitioner - Nurse Practitioner 5799207932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Clearfield-Jefferson Primary Care Associates PCGroup PAC ID 6002064433, 73 clinicians

Practice addresses (Care Compare)

33 Beaver Dr
Suite 1
Du Bois, PA 15801-2434
Phone (814) 503-8070

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN709340PAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Clearfield-Jefferson Primary Care Associates PC CurrentSince Mar 1, 2025 Accepting new patients

Locations

2285 Brodhead Rd
Aliquippa, PA 15001
Phone (724) 378-8320

33 Beaver Dr
Ste 1
Dubois, PA 15801
Phone (570) 561-2990

103 Market St
Scottdale, PA 15683
Phone (724) 220-5422

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1739318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1003621384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 LONG RIDGE DR",
            "city": "CORAOPOLIS",
            "state": "PA",
            "postal_code": "151084045",
            "telephone_number": "615-785-1515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 MARKET ST",
            "city": "SCOTTDALE",
            "state": "PA",
            "postal_code": "156832047",
            "telephone_number": "724-220-5422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2285 Brodhead Rd",
            "address_purpose": "LOCATION",
            "city": "Aliquippa",
            "state": "PA",
            "postal_code": "150014674",
            "country_code": "US",
            "telephone_number": "814-503-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERDT",
        "first_name": "SAMANTHA",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-12",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP031994",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "PA",
            "license": "RN709340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottdale, PA

Sources for this page

Verify at the official NPI Registry.