Individual provider Active NPI

Samantha Elizabeth Huyett, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Camp Hill, PA
National Provider Identifier
1912484866
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP019001 Issued in PA
Practice address
300 Corporate Center Dr FL 5
Camp Hill, PA 17011-9927
Phone
(717) 516-7276
NPI assigned
Jul 24, 2018
Last updated
Nov 10, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X SP019001 PA Primary

Addresses

Primary practice location

300 Corporate Center Dr FL 5
Camp Hill, PA 17011-9927

Mailing address

300 Corporate Ctr Dr FL 5
Camp Hill, PA 17011-9927
Phone (717) 516-7276

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
I20181018000501 PA Practitioner - Nurse Practitioner 4082966155 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Delaware County Professional Services, IncGroup PAC ID 2668436692, 276 clinicians

Practice addresses (Care Compare)

495 Thomas Jones Way
Suite 204
Exton, PA 19341-2553
Phone (610) 892-3800

780 E Market St
West Chester, PA 19382-4882
Phone (610) 892-3800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP019001PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Professional Services, Inc CurrentSince Nov 1, 2022 Accepting new patients

Locations

495 Thomas Jones Way
Ste 204
Exton, PA 19341
Phone (610) 269-9010

1055 E Baltimore Pike
Ste 300
Media, PA 19063
Phone (253) 346-0020

780 E Market St
West Chester, PA 19382
Phone (425) 908-0237

Interoperability endpoints

  • Direct secure messaging: lifestancehealth.samanthahuyett@141748.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1532390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1912484866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CTR DR FL 5",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170119927",
            "telephone_number": "717-516-7276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 CORPORATE CENTER DR FL 5",
            "city": "CAMP HILL",
            "state": "PA",
            "postal_code": "170119927",
            "telephone_number": "717-516-7276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYETT",
        "first_name": "SAMANTHA",
        "middle_name": "ELIZABETH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-24",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP019001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camp Hill, PA

Sources for this page

Verify at the official NPI Registry.