Samantha Jean Hulst, CNP
Individual provider Active NPI Family Nurse Practitioner · Thief River Falls, MN
NPI 1487212205 · NPPES record last updated Oct 8, 2019
Key facts
- NPI
- 1487212205
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 6660 (MN)
- Practice address
- 3001 Sanford Pkwy
Thief River Falls, MN 56701-2700 - Phone
- (218) 681-4240
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sanford Health Network North
Practice addresses (Care Compare)
1720 Hwy 59 S
Thief River Falls, MN 56701-4331
Phone (218) 681-4747
3001 Sanford Pkwy
Thief River Falls, MN 56701-2700
Phone (218) 683-2725
Hospital & facility affiliations
- Sanford Thief River Falls Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.22 of 100
- Quality
- 90.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 72.7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- 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 |
|---|---|---|---|---|
| I20190927001679 | MN | Practitioner - Nurse Practitioner | 9638409030 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6660 | MN | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Health Network North | Current | Accepting new patients | |
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Health Network North | Current |
Accepting new patients | |
| Sanford Health Network North | Past | Accepting new patients |
Locations
1720 US Highway 59 SE
Thief Rvr Fls, MN 56701
Phone (218) 681-4747
3001 Sanford Pkwy
Thief Rvr Fls, MN 56701
Phone (218) 681-4240
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Nurse Practitioner | 363LF0000X | 6660 | MN | Yes |
Addresses
Primary practice location
3001 Sanford Pkwy
Thief River Falls, MN 56701-2700
Mailing address
PO Box 5074
Sioux Falls, SD 57117-5074
Phone (218) 683-2725
Other providers in Thief River Falls, MN
- Hillary Grace Hittner
- Jaime Hoenke
- Michelle J Hoff
- Ashley Lauren Holtan
- Hope Pediatrics PLLC
- John H Imsande
- Emmie Jacobson
- Elizabeth L Jahn
- Patrick Jahn
- Justine Janecek
All providers in Thief River Falls, MN · Family Nurse Practitioner in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 8, 2019. 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.