Individual provider Active NPI

Samantha Watkins

  • Acute Care Nurse Practitioner
  • Center Valley, PA
National Provider Identifier
1417462219
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
SP018234 Issued in PA
Practice address
3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237
Phone
(484) 626-0480
Fax
(484) 896-9002
NPI assigned
Dec 4, 2017
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X SP018234 PA Primary

Addresses

Primary practice location

3477 Corporate Pkwy Ste 100
Center Valley, PA 18034-8237

Mailing address

1 E Broad St Ste 130
Bethlehem, PA 18018-5934
Phone (484) 626-0480

Other practice location 1

801 Ostrum St
Bethlehem, PA 18015-1000
Phone (484) 526-4000

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
I20180116000415 PA Practitioner - Nurse Practitioner 2567721731 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
RFVW Healthcare, PCGroup PAC ID 1153866900, 33 clinicians

Practice addresses (Care Compare)

3477 Corporate Pkwy
Suite 100
Center Valley, PA 18034-8237
Phone (484) 626-0480

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.99 of 100Reported as group
Quality
76.57
Improvement activities
40
Cost
69.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
RFVW Healthcare PC CurrentSince Sep 1, 2024 Accepting new patients
Gslpg, Inc CurrentSince Mar 1, 2022 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince Dec 18, 2017 Accepting new patients
Rosenfeld Vanwirt PC CurrentSince May 15, 2023 Accepting new patients
Hospitalist Medicine Physicians of Pennsylvania, P.C. CurrentSince Dec 1, 2023 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Dec 18, 2017 Accepting new patients
Albert Gallatin Home Care and Hospice Services, LLC Past Accepting new patients
St. Luke's Physician Group Inc. Past Accepting new patients
Gslpg Inc Past Accepting new patients

Locations

1605 N Cedar Crest Blvd
Ste 110B
Allentown, PA 18104
Phone (610) 973-1410

1 E Broad St
Ste 130
Bethlehem, PA 18018

3477 Corporate Pkwy
Center Valley, PA 18034
Phone (484) 614-5264

3477 Corporate Pkwy
Ste 100
Center Valley, PA 18034
Phone (484) 626-0480

2403 Butler St
Easton, PA 18042
Phone (484) 822-5405

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

500 St Lukes Dr
Lehighton, PA 18235
Phone (484) 464-9000

2 Gracedale Ave
Nazareth, PA 18064
Phone (610) 746-1900

100 Paramount Blvd
Orwigsburg, PA 17961
Phone (272) 639-1000

100 Paramount Blvd
Ste A
Orwigsburg, PA 17961

100 Paramount Blvd
Ste B
Orwigsburg, PA 17961

1165 Centre Tpke
Orwigsburg, PA 17961
Phone (272) 639-5130

8330 Easton Rd
Ste C
Ottsville, PA 18942
Phone (267) 424-8020

1 S Home Ave
Topton, PA 19562
Phone (610) 682-1275

1368 Mall Run Rd
Ste 628
Uniontown, PA 15401
Phone (724) 438-6660

559 W Germantown Pike
West Norriton, PA 19403
Phone (484) 622-1000

Organizations & group practices 10

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1417462219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 E BROAD ST STE 130",
            "city": "BETHLEHEM",
            "state": "PA",
            "postal_code": "180185934",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CORPORATE PKWY STE 100",
            "city": "CENTER VALLEY",
            "state": "PA",
            "postal_code": "180348237",
            "telephone_number": "484-626-0480",
            "fax_number": "484-896-9002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 Ostrum St",
            "address_purpose": "LOCATION",
            "city": "Bethlehem",
            "state": "PA",
            "postal_code": "180151000",
            "country_code": "US",
            "telephone_number": "484-526-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WATKINS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-04",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "PA",
            "license": "SP018234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center Valley, PA

Sources for this page

Verify at the official NPI Registry.