Individual provider Active NPI

Samantha Ann Miller

  • Family Nurse Practitioner
  • Greensburg, PA
National Provider Identifier
1245882414
Registry record updated Dec 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP020418 Issued in PA
Practice address
5274 Route 30 Ste 10
Greensburg, PA 15601-7831
Phone
(724) 216-0317
Fax
(724) 837-0271
NPI assigned
Jul 9, 2019
Last updated
Dec 28, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2022

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 SP020418 PA Primary

Addresses

Primary practice location

5274 Route 30 Ste 10
Greensburg, PA 15601-7831

Mailing address

5274 Route 30
Greensburg, PA 15601-7833
Phone (242) 160-3177

Other names 1

  • Samantha Ann Grahn Former name

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
I20190809001684 PA Practitioner - Nurse Practitioner 7810224060 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP020418PAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Butler Medical Providers CurrentSince Aug 19, 2019 Accepting new patients
Butler Medical Providers CurrentSince Aug 19, 2019 Accepting new patients
Butler Medical Providers Current Accepting new patients

Locations

24 Doctors Ln
Ste 201
Clarion, PA 16214
Phone (833) 684-1898

432 3rd Ave
Ford City, PA 16226
Phone (724) 763-9200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1562630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672185600000",
    "number": "1245882414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5274 ROUTE 30",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017833",
            "telephone_number": "242-160-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5274 ROUTE 30 STE 10",
            "city": "GREENSBURG",
            "state": "PA",
            "postal_code": "156017831",
            "telephone_number": "724-216-0317",
            "fax_number": "724-837-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-09",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP020418",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GRAHN",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensburg, PA

Sources for this page

Verify at the official NPI Registry.