Active NPI
Samantha Robyn Anderson, DNP
- Certified Registered Nurse Anesthetist
- Provo, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 12727407-4406
- Practice address
- 1034 N 500 W
Provo, UT 84604-3380 - Phone
- (608) 695-0168
- NPI assigned
- Dec 16, 2019
- Last updated
- Mar 26, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 317464 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 12727407-4406 | UT | Primary |
| Registered Nurse | 163W00000X | RN690124 | PA |
Addresses
Primary practice location
1034 N 500 W
Provo, UT 84604-3380
Mailing address
2462 N Alesund Way
Lehi, UT 84043-5449
Phone (608) 695-0168
Other practice location 1
13400 E Shea Blvd
Scottsdale, AZ 85259-5499
Phone (480) 301-8000
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | SANDERSON585530@DIRECT.MED.UTAH.EDU | Direct | University of Utah |
| Other URL | Pittsburgh | ||
| Direct Messaging Address | sanderson2434420@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT, AZ
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.53 of 100
- Quality
- 89.3
- Improvement activities
- 40
- Cost
- 78.06
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN690124 | PA | MD | Registered Nurse |
| 317464 | AZ | MD | Certified Registered Nurse Anesthetist |
| 12727407-4406 | UT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Utah Adult Services | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| University of Utah Adult Services | Current | Accepting new patients | |
| Mayo Clinic Arizona | Current | Accepting new patients |
Locations
13400 E Shea Blvd
Scottsdale, AZ 85259
127 S 500 E
Ste 400B
Salt Lake City, UT 84102
Phone (801) 587-6478
50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292
Interoperability endpoints
- sanderson585530@direct.med.utah.edu
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.
-
dba Mayo Clinic Scottsdale
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- General Practice Physician
- Salt Lake City, UT
- NPI 1114321981
-
dba University of Utah Rehabilitation & Wellness Program
- Physical Medicine & Rehabilitation Physician
- Salt Lake City, UT
- NPI 1275937146
-
dba University of Utah Hospital Radiology Department
- Diagnostic Radiology Physician
- Salt Lake City, UT
- NPI 1598169419
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
Hospital & facility affiliations 1
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": "1576454400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1144868605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2462 N ALESUND WAY",
"city": "LEHI",
"state": "UT",
"postal_code": "840435449",
"telephone_number": "608-695-0168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1034 N 500 W",
"city": "PROVO",
"state": "UT",
"postal_code": "846043380",
"telephone_number": "608-695-0168"
}
],
"practiceLocations": [
{
"address_1": "13400 E Shea Blvd",
"address_purpose": "LOCATION",
"city": "Scottsdale",
"state": "AZ",
"postal_code": "852595499",
"country_code": "US",
"telephone_number": "480-301-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDERSON",
"first_name": "SAMANTHA",
"middle_name": "ROBYN",
"credential": "DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-12-16",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "317464",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "UT",
"license": "12727407-4406",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "PA",
"license": "RN690124",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "SANDERSON585530@DIRECT.MED.UTAH.EDU",
"affiliation": "Y",
"affiliationName": "University of Utah",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "50 N Medical Dr",
"city": "Salt Lake City",
"state": "UT",
"country_code": "US",
"postal_code": "841320001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "Pittsburgh",
"affiliation": "N",
"address_1": "2552C Wharton St",
"city": "Pittsburgh",
"state": "PA",
"country_code": "US",
"postal_code": "152035104",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sanderson2434420@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "13400 E Shea Blvd",
"city": "Scottsdale",
"state": "AZ",
"country_code": "US",
"postal_code": "852595499",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Provo, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.