Kymberly Samotis, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

4704253964 Issued in MI

Practice address

200 Hemlock St
Tawas City, MI 48763-9237

Phone

(989) 362-9351

NPI assigned

Aug 29, 2016

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 MI

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, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tawas St Joseph Hospital Hospital, Tawas City, MI, CCN 230100

Merit-based Incentive Payment System (MIPS)

Final score

87.3 of 100Reported as group

Quality

70.94

Improvement activities

40

Cost

92.94

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kymberly.samotis.1@11016.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.

• Cep America LLC

  • Emergency Medicine Physician
  • Saginaw, MI
  • NPI 1912687328
  Medicare reassignment Care Compare group NPD
• Degara App, PLLC

  • Emergency Medicine Physician
  • Lansing, MI
  • NPI 1265976971
  Medicare reassignment NPD
• Sound Inpatient Physicians-Michigan, PLLC

  • Internal Medicine Physician
  • Kalamazoo, MI
  • NPI 1093967861
  Medicare reassignment NPD
• Sound Inpatient Physicians - Michigan, PLLC

  • Hospitalist Physician
  • Escanaba, MI
  • NPI 1366768178
  NPD
• Cep America LLC

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700747946
  NPD
• Mymichigan Medical Center Saginaw

  • Neurology Physician
  • Saginaw, MI
  • NPI 1417427352
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mymichigan Medical Center Tawas

  • Internal Medicine Physician
  • Tawas City, MI
  • NPI 1003996679

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1164410841

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • General Acute Care Hospital
  • Tawas City, MI
  • NPI 1194713461
  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Au Gres, MI
  • NPI 1326036153

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1679561468

  Hospital

  Care Compare affiliation
• Mymichigan Medical Center Tawas

  • Rural Health Clinic/Center
  • Tawas City, MI
  • NPI 1952399743

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677110400000",
    "number": "1356897409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1015 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486012556",
            "telephone_number": "989-754-3000",
            "fax_number": "989-754-3015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEMLOCK ST",
            "city": "TAWAS CITY",
            "state": "MI",
            "postal_code": "487639237",
            "telephone_number": "989-362-9351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486012556",
            "country_code": "US",
            "telephone_number": "989-754-3000",
            "fax_number": "989-754-3015",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAMOTIS",
        "first_name": "KYMBERLY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-29",
        "last_updated": "2023-02-23",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704253964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kymberly.samotis.1@11016.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "200 Hemlock St",
            "city": "Tawas City",
            "state": "MI",
            "country_code": "US",
            "postal_code": "487639237",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Reverence Home Health and Hospice, Inc.
• Christine Reynolds, PT
• Molly Reynolds, RPH
• Rite Aid
• Kristi Sue Root
• Jaya Sankaran, MD
• Surya Sankaran, M.D.
• Jennifer Savasky, RN
• Megan Cathleen Savasky, MSW
• Stacy Seyfried

• Acute Care Nurse Practitioner in Tawas City, MI
• Providers in Tawas City, MI by specialty
• Acute Care Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2023; 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.