Samara Mellanie Prystowsky

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

S.2298629 Issued in OH

Practice address

929 Harrison Ave Ste 200
Columbus, OH 43215-1300

Phone

(614) 940-4868

NPI assigned

Jan 25, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samara.prystowsky.1@26020.direct.athenahealth.com

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.

• Oh Independent Medical Group LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497482111
  Medicare reassignment NPD
• Oh Independent Medical Group LLC

  • Durable Medical Equipment & Medical Supplies
  • Circleville, OH
  • NPI 1114753431
  NPD

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

{
    "created_epoch": "1674604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725408000000",
    "number": "1669188546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "929 HARRISON AVE STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151300",
            "telephone_number": "614-940-4868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 HARRISON AVE STE 200",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432151300",
            "telephone_number": "614-940-4868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRYSTOWSKY",
        "first_name": "SAMARA",
        "middle_name": "MELLANIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-25",
        "last_updated": "2024-09-04",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.2298629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebeca Belle Pruzan, MSW, LSW
• Marquisha L Pryor
• Rita M Pryor
• Theresa Pryor, CT
• Whitney Noel Pryor
• Leon F Przybylowski III
• Holly Danielle Przyojski
• PS Home Health Care Services, Inc.
• Psalm Clinical Laboratory and Homecare of America Inc
• Psychcare Anywhere LLC

• Clinical Social Worker in Columbus, OH
• Providers in Columbus, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.