Samantha Goutermout, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

349656 Issued in NY

Practice address

953 Auburn St
Hannibal, NY 13074-2180

Phone

(315) 602-4030

Fax

(315) 282-2300

NPI assigned

Jun 13, 2022

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Specialty

Nurse Practitioner

Education

State University of Ny Upstate Medical University, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Physician Care PCGroup PAC ID 9032367453, 74 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sgoutermout@oswegohealth.medentdirect.com

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.

• Physician Care PC

  dba Oswego Health Medical Practice

  • Internal Medicine Physician
  • Oswego, NY
  • NPI 1073868113
  Medicare reassignment Care Compare group NPD

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

• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation

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

{
    "created_epoch": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1114657228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 DELANO ST",
            "city": "PULASKI",
            "state": "NY",
            "postal_code": "131421400",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-3968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 AUBURN ST",
            "city": "HANNIBAL",
            "state": "NY",
            "postal_code": "130742180",
            "telephone_number": "315-602-4030",
            "fax_number": "315-282-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "640 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5210",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "639 County Route 22",
            "address_purpose": "LOCATION",
            "city": "Parish",
            "state": "NY",
            "postal_code": "131313339",
            "country_code": "US",
            "telephone_number": "315-625-5213",
            "fax_number": "315-625-7974",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16 Fravor Rd",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143011",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "26 Academy St",
            "address_purpose": "LOCATION",
            "city": "Mexico",
            "state": "NY",
            "postal_code": "131143010",
            "country_code": "US",
            "telephone_number": "315-963-8400 x4208",
            "fax_number": "315-630-3169",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "61 Delano St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131421400",
            "country_code": "US",
            "telephone_number": "315-298-6564",
            "fax_number": "315-298-3968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "510 S 4th St Ste 600",
            "address_purpose": "LOCATION",
            "city": "Fulton",
            "state": "NY",
            "postal_code": "130692952",
            "country_code": "US",
            "telephone_number": "315-598-4790",
            "fax_number": "315-593-6195",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Buccaneer Blvd",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131261953",
            "country_code": "US",
            "telephone_number": "315-602-9000",
            "fax_number": "315-282-2538",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "124 Salisbury St",
            "address_purpose": "LOCATION",
            "city": "Sandy Creek",
            "state": "NY",
            "postal_code": "131457706",
            "country_code": "US",
            "telephone_number": "315-387-3620",
            "fax_number": "315-387-2912",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Hinman Rd",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422200",
            "country_code": "US",
            "telephone_number": "315-298-2570",
            "fax_number": "315-298-7457",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4624 Salina St",
            "address_purpose": "LOCATION",
            "city": "Pulaski",
            "state": "NY",
            "postal_code": "131422102",
            "country_code": "US",
            "telephone_number": "315-298-2696",
            "fax_number": "315-298-3460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOUTERMOUT",
        "first_name": "SAMANTHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "349656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Crystal Decker, RN
• Roseellen M. Donovan, R.N.
• Britanee Sarah Eckhard, LMHC, CAS
• Sharon Figiera
• Heidi Marie Giffin, LICENSED PRACTICAL N
• Hannibal Central School District
• Jennifer Marie Hawkins, LMHC
• Hess Healthcare, LLC (Hannibal Pharmacy)
• Erin E Hess, PHARMD
• Jonathan Allen Hess, R.PH.

• Family Nurse Practitioner in Hannibal, NY
• Providers in Hannibal, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.