Individual provider Active NPI

Samantha Lynn Braden, AUD

  • Audiologist
  • Swansea, IL
National Provider Identifier
1538896774
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
147012286 Issued in IL
Practice address
19 Wolf Creek Dr
Dept Otolaryngology
Swansea, IL 62226-2355
Phone
(618) 235-3687
Fax
(618) 239-9429
NPI assigned
Aug 8, 2022
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X 147012286 IL Primary

Addresses

Primary practice location

19 Wolf Creek Dr
Dept Otolaryngology
Swansea, IL 62226-2355

Mailing address

PO Box 7412011
Chicago, IL 60674-2011
Phone (618) 235-3687

Other identifiers 1

IdentifierTypeStateIssuer
330113440MedicaidMO

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220817000606 MO Practitioner - Qualified Audiologist 4082097514 Reassigns benefits to 3 organizations
I20260218001129 IL Practitioner - Qualified Audiologist 4082097514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

19 Wolf Creek Dr
Swansea, IL 62226-2355
Phone (618) 235-3687

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
147012286ILMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospitals East Communities CurrentSince Nov 28, 2022 Accepting new patients
Mercy Hospitals East Communities Audiologist CurrentSince Nov 28, 2022 Accepting new patients
St Louis Pathology Assoc Inc. Current Accepting new patients
Mercy Hospitals East Communities CurrentSince Nov 28, 2022 Accepting new patients
Mercy Hospital South CurrentSince Nov 28, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Dec 13, 2022 Accepting new patients
Mercy Hospital South CurrentSince Nov 28, 2022 Accepting new patients
Mercy Hospitals East Communities CurrentSince Nov 28, 2022 Accepting new patients
Washington University Physicians in Illinois, Inc Past Accepting new patients

Locations

10004 Kennerly Rd
Ste 205A
Saint Louis, MO 63128
Phone (314) 525-4327

615 S New Ballas Rd
Saint Louis, MO 63141
Phone (314) 251-4687

607 S New Ballas Rd
Ste T2170
Saint Louis, MO 63141
Phone (314) 251-4235

621 S New Ballas Rd
Ste 482
Saint Louis, MO 63141
Phone (314) 251-5850

621 S New Ballas Rd
Ste 385A
Saint Louis, MO 63141
Phone (314) 251-5850

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

901 E 5th St
Washington, MO 63090
Phone (636) 239-8000

901 Patients First Dr
Ste 3500
Washington, MO 63090
Phone (636) 266-7850

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1538896774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7412011",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606742011",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WOLF CREEK DR",
            "address_2": "DEPT OTOLARYNGOLOGY",
            "city": "SWANSEA",
            "state": "IL",
            "postal_code": "622262355",
            "telephone_number": "618-235-3687",
            "fax_number": "618-239-9429"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRADEN",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "AUD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-08",
        "last_updated": "2026-02-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IL",
            "license": "147012286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330113440",
            "state": "MO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "19 Wolf Creek Dr",
            "address_2": "Dept Otolaryngology",
            "city": "Swansea",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622262355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Swansea, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.