Samantha Blood, CNP
Individual provider Active NPI Nurse Practitioner · Enola, PA
NPI 1053781138 · NPPES record last updated Jan 7, 2022
Key facts
- NPI
- 1053781138
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- SP015478 (PA)
- Practice address
- 1824 Good Hope Rd
Enola, PA 17025-1233 - Phone
- (717) 988-9015
- Fax
- (717) 221-5410
- NPI assigned
- Oct 1, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Pinnacle Health Medical Services
Practice addresses (Care Compare)
1 Dunwoody Dr
Carlisle, PA 17015-9565
Phone (717) 988-9015
2501 N 3Rd St
Kline Health Center Foot and Ankle
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd St 2ND FL Kline HC
Reach Program
Harrisburg, PA 17110-1904
Phone (717) 782-2363
2501 N 3Rd St FL
2 Kline Health Center
Harrisburg, PA 17110-1904
Phone (717) 782-2100
2501 N 3Rd Street 2ND Floor
Pinnaclehealth Psychological Associates
Harrisburg, PA 17110-1904
Phone (717) 782-2143
Hospital & facility affiliations
- Upmc Carlisle
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.08 of 100
- Quality
- 76.48
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.12
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151124001678 | PA | Practitioner - Nurse Practitioner | 8224338264 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner, Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN632842 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pinnacle Health Medical Services | Current |
Accepting new patients | |
| Pinnacle Health Medical Services | Nurse Practitioner | Current |
Accepting new patients |
| Pinnacle Health Medical Services | Current | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients | |
| Pinnacle Health Medical Services | Nurse Practitioner | Past | Accepting new patients |
Locations
423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880
1 Dunwoody Dr
Carlisle, PA 17015
Phone (717) 249-6112
100 N Academy Ave
Danville, PA 17822
1824 Good Hope Rd
Enola, PA 17025
Phone (717) 732-8877
2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100
Interoperability endpoints
- sblood1719358@upmc.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN632842 | PA | |
| Family Nurse Practitioner | 363LF0000X | SP015478 | PA | |
| Nurse Practitioner | 363L00000X | SP015478 | PA | Yes |
Addresses
Primary practice location
1824 Good Hope Rd
Enola, PA 17025-1233
Mailing address
1824 Good Hope Rd
Enola, PA 17025-1233
Phone (717) 988-9015
Other practice location 1
1 Dunwoody Dr
Carlisle, PA 17015-9565
Phone (717) 988-9015
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SP015478 | Other | PA | LICENSE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sblood210612@phsdirect.pinnaclehealth.org |
Other providers in Enola, PA
- Oumou Belemou
- Bennese Family Chiropractic PC
- Michael Gerard Bennese
- Bio-Medical Applications of Pennsylvania, Inc.
- Kier Maddox Blevins
- Richard Blutstein
- Vincenzo Antonio Bonaddio Jr.
- Caitlin Danielle Bond
- Kathryn A. Bonnett
- Eric Book
All providers in Enola, PA · Nurse Practitioner in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.