Samantha Kaye O'Dell, APN

Primary specialty

Women's Health Nurse PractitionerTaxonomy code 363LW0102X

License

209021538 Issued in IL

Practice address

1012 95TH St Ste 3
Naperville, IL 60564-5040

Phone

(630) 856-8670

NPI assigned

Sep 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adventist Health Partners, Inc.Group PAC ID 0244135762, 253 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: swyatt1241086@adventhealth.direct-ci.com
• Direct secure messaging: samantha.o.dell.1@380.direct.athenahealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Adventist Health Partners, Inc.

  • Multi-Specialty Clinic/Center
  • La Grange, IL
  • NPI 1932650496
  Medicare reassignment Care Compare group NPD
• Adventist Health Partners, Inc

  dba Salt Creek Therapy Center

  • Psychiatry Physician
  • Hinsdale, IL
  • NPI 1194149104
  NPD
• Adventist Health Partners,Inc

  dba Glendale Family Practice

  • Family Medicine Physician
  • Bloomingdale, IL
  • NPI 1043255888
  NPD
• Adventist Health Partners,Inc

  dba Family Practice Associates

  • Family Medicine Physician
  • Hinsdale, IL
  • NPI 1265475032
  NPD (past)

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1346854049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15718 COVE CIR",
            "city": "PLAINFIELD",
            "state": "IL",
            "postal_code": "605447858",
            "telephone_number": "402-517-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 95TH ST STE 3",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605645040",
            "telephone_number": "630-856-8670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'DELL",
        "first_name": "SAMANTHA",
        "middle_name": "KAYE",
        "credential": "APN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": "209021538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samantha.o.dell.1@380.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1012 95th St Ste 3",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605645040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Ann Nylen
• Erin Elizabeth O'Callaghan, OTR/L
• Carolyn O'Connor, PA-C
• Kelsey O'Connor, APN-CNP
• Susan M O'Connor, NP-C
• Cynthia Surges O'Donnell, LCSW
• Sara Elizabeth O'Hare
• Brian O'Leary, MD
• Seanna M O'Malley, DPT
• Kelly Erin O'Neill, DC

• Women's Health Nurse Practitioner in Naperville, IL
• Providers in Naperville, IL by specialty
• Women's Health Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; 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.
• 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.

Verify at the official NPI Registry.