NPIMap

Individual provider Active NPI

Naomi Joy Samuelson, FNP

  • Family Nurse Practitioner
  • Slayton, MN
National Provider Identifier
1093345571
Registry record updated Jan 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
7186 Issued in MN
Practice address
34 Pleasant View Rd
Slayton, MN 56172-1933
Phone
(507) 828-1213
NPI assigned
Jan 23, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 7186 MN Primary

Addresses

Primary practice location

34 Pleasant View Rd
Slayton, MN 56172-1933

Mailing address

34 Pleasant View Rd
Slayton, MN 56172-1933
Phone (507) 828-1213

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200528000198 MN Practitioner - Nurse Practitioner 5698196707 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical CenterGroup PAC ID 8325950215, 847 clinicians
Sanford Health NetworkGroup PAC ID 6800707100, 357 clinicians

Practice addresses (Care Compare)

2150 Hospital Dr
Windom, MN 56101-1287
Phone (605) 328-8900

920 Bell Ave
Westbrook, MN 56183-9669
Phone (507) 274-1150

Hospital & facility affiliations

  • Avera at Home Marshall Home health agency, Marshall, MN, CCN 248144
  • Sanford Tracy Medical Center Hospital, Tracy, MN, CCN 241303
  • Sanford Westbrook Medical Center Hospital, Westbrook, MN, CCN 241302
  • Sanford Usd Medical Center Hospital, Sioux Falls, SD, CCN 430027
  • Avera Marshall Regional Medical Ctr Hospital, Marshall, MN, CCN 241359
  • Sanford Worthington Medical Center Hospital, Worthington, MN, CCN 240022

Merit-based Incentive Payment System (MIPS)

Final score
85.53 of 100Reported as group
Quality
80.98
Promoting interoperability
100
Improvement activities
40
Cost
70.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7186MNMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Health Network CurrentSince Mar 1, 2020 Accepting new patients
Sanford Health Network Current Accepting new patients
Sanford Health Network CurrentSince Mar 1, 2020 Accepting new patients
Sanford Health Network Past Accepting new patients

Locations

249 5th St E
Tracy, MN 56175
Phone (507) 629-3520

920 Bell Ave
Westbrook, MN 56183
Phone (507) 274-1150

Organizations & group practices 7

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

Hospital & facility affiliations 9

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": "1579737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579737600000",
    "number": "1093345571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 PLEASANT VIEW RD",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721933",
            "telephone_number": "507-828-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 PLEASANT VIEW RD",
            "city": "SLAYTON",
            "state": "MN",
            "postal_code": "561721933",
            "telephone_number": "507-828-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "NAOMI",
        "middle_name": "JOY",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-23",
        "last_updated": "2020-01-23",
        "certification_date": "2020-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "7186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Slayton, MN

Sources for this page

Verify at the official NPI Registry.