Active NPI
Samantha Ann Miller
- Family Nurse Practitioner
- Greensburg, PA
National Provider Identifier
1245882414
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- SP020418
- 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, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP020418 | PA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Medical Providers | Current | Accepting new patients | |
| Butler Medical Providers | Current | 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.
-
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- NPI 1619493046
-
- Rural Health Clinic/Center
- Fairmount City, PA
- NPI 1386253854
-
dba BHS Joann Lamb MD & Associates
- Family Medicine Physician
- New Castle, PA
- NPI 1598132599
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.