Samantha Tritt
Individual provider Active NPI Gerontology Nurse Practitioner · Phoenix, AZ
NPI 1265076152 · NPPES record last updated Jan 9, 2024
Key facts
- NPI
- 1265076152
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Gerontology Nurse Practitioner 363LG0600X
- License
- RNP290879 (AZ)
- Practice address
- 5777 E Mayo Blvd
Phoenix, AZ 85054-4502 - Phone
- (206) 145-9075
- NPI assigned
- Nov 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Paragon Physical Therapy and Rehab LLC
Practice addresses (Care Compare)
2585 Miracle Mile
Bullhead City, AZ 86442-7522
Hospital & facility affiliations
- Mayo Clinic Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NJ, AZ
- 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 |
|---|---|---|---|---|
| I20191217002084 | NJ | Practitioner - Nurse Practitioner | 3971937350 | Reassigns benefits to 2 organizations |
| I20231206001820 | AZ | Practitioner - Nurse Practitioner | 3971937350 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 26NJ00959000 | NJ | MD | Adult Health Nurse Practitioner |
| RNP290879 | AZ | MD | Gerontology Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Arizona | Current |
Accepting new patients | |
| Mayo Clinic Arizona | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients | |
| Advanced Cardiovascular Interventions, PA | Current |
Accepting new patients | |
| Hackensack Meridian Health Medical Group - Specialty Care PC | Current |
Accepting new patients |
Locations
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
13400 E Shea Blvd
Scottsdale, AZ 85259
30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066
363 Prospect Ave
Hackensack, NJ 07601
Phone (201) 265-5700
20 Prospect Ave
Ste 600
Hackensack, NJ 07601
Phone (201) 488-1036
3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463
Interoperability endpoints
- stritt2060695@ehrdirect.mayoclinicmsg.org
- https://fhir4.healow.com/fhir/r4/IHJHBD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 26NJ00959000 | NJ | |
| Gerontology Nurse Practitioner | 363LG0600X | RNP290879 | AZ | Yes |
Addresses
Primary practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Mailing address
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 515-6296
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | stritt2060695@ehrdirect.mayoclinicmsg.org |
Other providers in Phoenix, AZ
- Mark Allen Triplett
- Tamela Tripp
- Valeria Tripp
- Trisis Family Sevices
- Tristan Transportation Company
- Gerald Walter Trkula
- Oleksandr Trofymenko
- Lauren Rae Trohkimoinen
- Brianna Troksa
- Theresa Joan Trollinger
All providers in Phoenix, AZ · Gerontology Nurse Practitioner in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 9, 2024. 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.