Active NPI
Samantha Bunch, APRN FNP-BC
- Primary Care Nurse Practitioner
- Saint Peters, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 2021022692
- Practice address
- 5200 Executive Centre Pkwy Ste 300
Saint Peters, MO 63376-3394 - Phone
- (636) 229-4222
- NPI assigned
- Aug 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 2021022692 | MO | Primary |
Addresses
Primary practice location
5200 Executive Centre Pkwy Ste 300
Saint Peters, MO 63376-3394
Mailing address
5200 Executive Centre Pkwy Ste 300
Saint Peters, MO 63376-3394
Phone (636) 229-4222
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220510001057 | MO | Practitioner - Nurse Practitioner | 4183001332 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Peters Bone and Joint Surgery Inc
Practice addresses (Care Compare)
378 Shadow Pines Dr
Wentzville, MO 63385-3745
Phone (636) 441-3444
Hospital & facility affiliations
- St Lukes Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.79 of 100
- Quality
- 96.04
- Improvement activities
- 40
- Cost
- 89.88
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Peters Bone & Joint Surgery Inc. | Current | Accepting new patients | |
| Barnes Health Care Management Group LLC | Current | Accepting new patients | |
| St Peters Bone & Joint Surgery Inc. | Current | Accepting new patients |
Locations
2101 Corona Rd
Ste 102
Columbia, MO 65203
Phone (573) 234-1800
1734 Market St
Hannibal, MO 63401
Phone (573) 221-2930
1333 Scenic Dr
Herculaneum, MO 63048
Phone (636) 931-2995
11515 Troost Ave
Kansas City, MO 64131
Phone (813) 943-4104
2041 Silva Ln
Moberly, MO 65270
Phone (660) 263-1894
4701 Highway K
O Fallon, MO 63368
Phone (636) 441-3444
4401 N Hanley Rd
Saint Louis, MO 63134
Phone (314) 521-7471
5200 Executive Centre Pkwy
Ste 300
Saint Peters, MO 63376
Phone (636) 229-4222
2800 Highway TT
#Four
Sedalia, MO 65301
Phone (660) 826-8803
378 Shadow Pines Dr
Wentzville, MO 63385
Phone (636) 441-3444
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73033
Organizations & group practices 4
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.
-
- Orthopaedic Surgery Physician
- Saint Peters, MO
- NPI 1225182157
MO
-
- Geriatric Medicine (Internal Medicine) Physician
- Columbia, MO
- NPI 1396999686
MO
-
- Orthopaedic Surgery Physician
- O Fallon, MO
- NPI 1386010684
-
- Orthopaedic Surgery Physician
- Wentzville, MO
- NPI 1538313424
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chesterfield, MO
- NPI 1346251543
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1628380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1679247019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5200 EXECUTIVE CENTRE PKWY STE 300",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763394",
"telephone_number": "636-229-4222"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5200 EXECUTIVE CENTRE PKWY STE 300",
"city": "SAINT PETERS",
"state": "MO",
"postal_code": "633763394",
"telephone_number": "636-229-4222"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "SAMANTHA",
"credential": "APRN FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-08-08",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MO",
"license": "2021022692",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Peters, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.