Individual provider Active NPI

Samantha June Nazaroff, DNP

  • Adult Health Nurse Practitioner
  • Hagerstown, MD
National Provider Identifier
1467975698
Registry record updated Nov 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
R251853 Issued in MD
Practice address
11110 Medical Campus Rd Ste 151
Hagerstown, MD 21742-6755
Phone
(301) 797-7600
NPI assigned
Jul 19, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X R251853 MD Primary
Adult Health Nurse Practitioner 363LA2200X AP10364 AZ

Addresses

Primary practice location

11110 Medical Campus Rd Ste 151
Hagerstown, MD 21742-6755

Mailing address

11110 Medical Campus Rd Ste 151
Hagerstown, MD 21742-6755
Phone (301) 797-7600

Other identifiers 1

IdentifierTypeStateIssuer
208246200MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221025001873 MD Practitioner - Nurse Practitioner 0345507844 Reassigns benefits to 3 organizations
I20230412000115 DC Practitioner - Nurse Practitioner 0345507844 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Matclinic Physicians Practice Group LLCGroup PAC ID 3274804349, 22 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, 730 clinicians
Mir Neurology Center PAGroup PAC ID 7618956814, 7 clinicians

Practice addresses (Care Compare)

1101 Opal CT
Suite 301
Hagerstown, MD 21740-5947
Phone (410) 220-0720

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Suite 151
Hagerstown, MD 21742-6755
Phone (301) 797-7600

Merit-based Incentive Payment System (MIPS)

Final score
92.08 of 100Reported as group
Quality
76.5
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brian S Page DO LLC CurrentSince Sep 5, 2018 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Sep 4, 2023 Accepting new patients
Mir Neurology Center PA CurrentSince Aug 10, 2025 Accepting new patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Jul 14, 2022 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Sep 4, 2023 Accepting new patients
Brian S Page DO LLC CurrentSince Sep 5, 2018 Accepting new patients
Leading Edge Medical CurrentSince Nov 16, 2017 Accepting new patients
Matclinic Physicians Practice Group LLC CurrentSince Sep 4, 2023 Accepting new patients
Recovery Chiropractic PastSince Nov 16, 2017 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1530 S Val Vista Dr
Ste 106
Gilbert, AZ 85296
Phone (480) 664-6061

20325 N 51st Ave
Ste 160
Glendale, AZ 85308
Phone (602) 865-5466

924 Seton Dr
Ste C
Cumberland, MD 21502
Phone (301) 797-7600

40 S Dundalk Ave
Ste 400
Dundalk, MD 21222
Phone (410) 220-0270

11110 Medical Campus Rd
Ste 151
Hagerstown, MD 21742
Phone (301) 722-3777

1101 Opal Ct
Ste 301
Hagerstown, MD 21740
Phone (240) 329-9033

601 7th St
Ste 304
Laurel, MD 20707
Phone (410) 220-0280

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

6000 Executive Blvd
Ste 602
Rockville, MD 20852
Phone (301) 770-6301

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1500422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762300800000",
    "number": "1467975698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 151",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755",
            "telephone_number": "301-797-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 151",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426755",
            "telephone_number": "301-797-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZAROFF",
        "first_name": "SAMANTHA",
        "middle_name": "JUNE",
        "name_prefix": "Dr.",
        "credential": "DNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-19",
        "last_updated": "2025-11-05",
        "certification_date": "2025-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MD",
            "license": "R251853",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AZ",
            "license": "AP10364",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208246200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.