Individual provider Active NPI

Samantha Skye Collins

  • Family Nurse Practitioner
  • Beaver Falls, PA
National Provider Identifier
1558023325
Registry record updated Dec 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
SP024059 Issued in PA
Practice address
2580 Constitution Blvd
Beaver Falls, PA 15010-1294
Phone
(724) 770-7999
NPI assigned
Oct 8, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X SP024059 PA Primary

Addresses

Primary practice location

2580 Constitution Blvd
Beaver Falls, PA 15010-1294

Mailing address

445 Ridgemont Dr
Industry, PA 15052-1939
Phone (724) 683-1095

Other practice location 1

1633 PA-51N
Suite 105
Jefferson Hills, PA 15025
Phone (412) 223-5689

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
I20211206000731 PA Practitioner - Nurse Practitioner 2365832409 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Geskin Medical LLCGroup PAC ID 4981006640, 20 clinicians

Practice addresses (Care Compare)

1633 Route 51
Suite 105
Jefferson Hills, PA 15025-3652
Phone (412) 775-3019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Geskin Medical LLC CurrentSince Jun 9, 2024 Accepting new patients

Locations

1633 Route 51
Ste 105
Jefferson Hls, PA 15025
Phone (412) 775-2019

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1633651200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765324800000",
    "number": "1558023325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 RIDGEMONT DR",
            "city": "INDUSTRY",
            "state": "PA",
            "postal_code": "150521939",
            "telephone_number": "724-683-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 CONSTITUTION BLVD",
            "city": "BEAVER FALLS",
            "state": "PA",
            "postal_code": "150101294",
            "telephone_number": "724-770-7999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1633 PA-51N",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Jefferson Hills",
            "state": "PA",
            "postal_code": "15025",
            "country_code": "US",
            "telephone_number": "412-223-5689",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "SAMANTHA",
        "middle_name": "SKYE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-08",
        "last_updated": "2025-12-10",
        "certification_date": "2025-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "PA",
            "license": "SP024059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver Falls, PA

Sources for this page

Verify at the official NPI Registry.