Individual provider Active NPI

Samantha Blood, CNP

  • Nurse Practitioner
  • Enola, PA
National Provider Identifier
1053781138
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP015478 Issued in PA
Practice address
1824 Good Hope Rd
Enola, PA 17025-1233
Phone
(717) 988-9015
Fax
(717) 221-5410
NPI assigned
Oct 1, 2015
Last updated
Jan 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN632842 PA
Family Nurse Practitioner 363LF0000X SP015478 PA
Nurse Practitioner 363L00000X SP015478 PA Primary

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sblood210612@phsdirect.pinnaclehealth.org

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
I20151124001678 PA Practitioner - Nurse Practitioner 8224338264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Medical ServicesGroup PAC ID 7618960493, 1,025 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP015478PAMDNurse Practitioner
RN632842PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services Nurse Practitioner CurrentSince Dec 1, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Dec 1, 2021 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pinnacle Health Medical Services Nurse Practitioner Past Accepting new patients
Frederick Health Hospital Inc 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

  • Direct secure messaging: sblood1719358@upmc.direct-ci.com
  • Direct secure messaging: sblood210612@phsdirect.pinnaclehealth.org

Organizations & group practices 5

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 2

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": "1443657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1053781138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-988-9015",
            "fax_number": "717-221-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1824 GOOD HOPE RD",
            "city": "ENOLA",
            "state": "PA",
            "postal_code": "170251233",
            "telephone_number": "717-988-9015",
            "fax_number": "717-221-5410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Dunwoody Dr",
            "address_purpose": "LOCATION",
            "city": "Carlisle",
            "state": "PA",
            "postal_code": "170159565",
            "country_code": "US",
            "telephone_number": "717-988-9015",
            "fax_number": "717-221-5410",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLOOD",
        "first_name": "SAMANTHA",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-01",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "RN632842",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP015478",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP015478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sblood210612@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1824 Good Hope Rd",
            "city": "Enola",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170251233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enola, PA

Sources for this page

Verify at the official NPI Registry.