Samantha Meyer
Individual provider Active NPI Nurse Practitioner · Galloway, OH
NPI 1124412879 · NPPES record last updated Feb 20, 2026
Key facts
- NPI
- 1124412879
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nurse Practitioner 363L00000X
- License
- COA 17155 (OH)
- Practice address
- 6129 Nasby Dr
Galloway, OH 43119-8291 - Phone
- (317) 559-0950
- NPI assigned
- Mar 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- My Mobile MD Ohio LLC
Practice addresses (Care Compare)
Parkersburg, WV 26104
Phone (317) 559-0950
Galloway, OH 43119
Phone (765) 969-7841
Hospital & facility affiliations
- Buckeye Home Health Care, LLC
- Supportive Home Health
- Ohioans Home Healthcare, Inc
- Queen City Skilled Care LLC
- Northstar Home Hospice LLC
- Hospice of Dayton
- Rivers Health
- Atrium Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 11.97 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 39.91
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, WV
- 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 |
|---|---|---|---|---|
| I20150617002100 | OH | Practitioner - Nurse Practitioner | 9739490749 | Reassigns benefits to 2 organizations |
| I20260330000169 | WV | Practitioner - Nurse Practitioner | 9739490749 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| COA 17155 | OH | MD | Nurse Practitioner |
| 123657 | WV | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Mobile MD Ohio LLC | Current |
Accepting new patients | |
| My Mobile MD Ohio Psychiatric Services LLC | Current |
Accepting new patients | |
| Inpatient Consultants of Ohio, Inc | Current |
Accepting new patients |
Locations
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
110 Nicolette Rd
Parkersburg, WV 26104
Phone (304) 424-6023
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA 17155 | OH | Yes |
| Nurse Practitioner | 363L00000X | 123657 | WV |
Addresses
Primary practice location
6129 Nasby Dr
Galloway, OH 43119-8291
Mailing address
PO Box 586
Galloway, OH 43119-0586
Other providers in Galloway, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 20, 2026. 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.