Active NPI
Samantha Jean Filipovich, CRNA, DNP
- Certified Registered Nurse Anesthetist
- Twentynine Palms, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6663
- Practice address
- 1145 Sturgis Road
Twentynine Palms, CA 92278-8275 - Phone
- (760) 830-2117
- NPI assigned
- May 8, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6663 | NC | Primary |
Addresses
Primary practice location
1145 Sturgis Road
Twentynine Palms, CA 92278-8275
Mailing address
1145 Sturgis Rd
Twentynine Palms, CA 92278
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100
250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8240
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6663 | NC | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Carolina Health - Heritage Inc | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Onslow Memorial Hospital, Inc. | Anesthesiology | Current | Accepting new patients |
| East Carolina Health - Heritage Inc | Anesthesiology | Current | Accepting new patients |
| Onslow Memorial Hospital Inc | Current | Accepting new patients | |
| East Carolina Health | Anesthesiology | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| East Carolina Health | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
Locations
500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699
111 Hospital Dr
Tarboro, NC 27886
Phone (252) 641-7700
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 and National Provider Directory roles.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Anesthesiology Physician
- Ahoskie, NC
- NPI 1093793473
-
- Anesthesiology Physician
- Tarboro, NC
- NPI 1194703884
-
- Anesthesiology Physician
- Jacksonville, NC
- NPI 1689855900
-
- General Acute Care Hospital
- Ahoskie, NC
- NPI 1467441394
-
- Rural Health Clinic/Center
- Pinetops, NC
- NPI 1821076589
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Edenton, NC
- NPI 1477541183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1649854431",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1145 STURGIS RD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "92278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1145 STURGIS ROAD",
"city": "TWENTYNINE PALMS",
"state": "CA",
"postal_code": "922788275",
"telephone_number": "760-830-2117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FILIPOVICH",
"first_name": "SAMANTHA",
"middle_name": "JEAN",
"credential": "CRNA, DNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-08",
"last_updated": "2024-08-09",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Twentynine Palms, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.