Samantha Rae Atkinson
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Minneapolis, MN
NPI 1679230577 · NPPES record last updated Apr 30, 2025
Key facts
- NPI
- 1679230577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 8950 (MN)
- Practice address
- 701 Park Ave
Minneapolis, MN 55415-1623 - Phone
- (612) 626-3000
- NPI assigned
- Nov 26, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Fairview Health Services
Practice addresses (Care Compare)
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 273-7838
Hospital & facility affiliations
- M Health Fairview University of MN Medical Center
- M Health Fairview Southdale Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.44 of 100
- Quality
- 82.65
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.21
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 |
|---|---|---|---|---|
| I20230323001863 | MN | Practitioner - Nurse Practitioner | 5799159257 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 457743 | OH | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Express Care | Current |
Accepting new patients | |
| Fairview Express Care | Current |
Accepting new patients | |
| Advanced Brain and Body Clinic PLLC | Current |
Accepting new patients | |
| Fairview Health Services | Current |
Accepting new patients | |
| Fairview Health Services | Current | Accepting new patients | |
| Fairview Express Care | Current | Accepting new patients |
Locations
14101 Fairview Dr
Ste 300
Burnsville, MN 55337
Phone (612) 273-5400
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
701 Decatur Ave N
Ste 109
Minneapolis, MN 55427
Phone (763) 746-2400
500 Harvard St SE
Minneapolis, MN 55455
Phone (612) 273-7300
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
13911 Ridgedale Dr
Ste 110
Minnetonka, MN 55305
Phone 6053488000 ext. 211
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
45 10th St W
Ste 3000
Saint Paul, MN 55102
Phone (651) 326-4800
636 Saint Anne St
Rapid City, SD 57701
Phone (605) 348-8000
Interoperability endpoints
- satkinson710230@fairview.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 457743 | OH | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 8950 | MN | Yes |
Addresses
Primary practice location
701 Park Ave
Minneapolis, MN 55415-1623
Mailing address
701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 273-3000
Other providers in Minneapolis, MN
- Athena Behavioral Center
- Christian Athens
- Bruce Castle Atherton
- Alexandra Halleen Atkins
- Matthew Roy Atkins
- Bethlehem Bekele Atoma
- Adzo Erika Atson-Tsevi
- Rizwan Qassim Attia
- Annika Attiah
- Melissa Marie Atwood-Reichert
All providers in Minneapolis, MN · Psychiatric/Mental Health 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 Apr 30, 2025. 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.