Samantha Claire Chaligoj, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004679 Issued in AR

Practice address

161 Natoma St
San Francisco, CA 94105-3746

Phone

(619) 648-1247

NPI assigned

Nov 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other names 1

• Samantha Bolton Former name

Medicare fee-for-service enrollment

Enrolled in AR, KY, OH3 enrollments

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 3

Specialty

Nurse Practitioner

Education

University of California, San Francisco School of Medicine, 2015

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Caremed Health Solutions of Kentucky, LLCGroup PAC ID 4880071299, 24 clinicians

Wound Med LLCGroup PAC ID 2769916915, 33 clinicians

Ozarks Primary Care PlusGroup PAC ID 7012447808, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sbolton746178@directa.mercy.net

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.

• Ozarks Primary Care Plus

  • Family Medicine Physician
  • Bentonville, AR
  • NPI 1033927546
  Medicare reassignment Care Compare group NPD Authorized official
• Caremed Health Solutions of Kentucky, LLC

  • Multi-Specialty Clinic/Center
  • Ashland, KY
  • NPI 1326789462
  Medicare reassignment Care Compare group NPD
• Wound Med LLC

  • Nursing Care Agency
  • Shaker Heights, OH
  • NPI 1790521060
  Medicare reassignment Care Compare group NPD
• Caremed Ohio LLC

  • Multi-Specialty Clinic/Center
  • Kenton, OH
  • NPI 1669123949
  Medicare reassignment NPD
• Saint Francis Medical Center

  • Internal Medicine Physician
  • Cape Girardeau, MO
  • NPI 1578513016
  NPD (past)

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

{
    "created_epoch": "1447200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1962875054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8703 W MIGRATION WAY",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727132162",
            "telephone_number": "479-685-9809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 NATOMA ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941053746",
            "telephone_number": "619-648-1247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALIGOJ",
        "first_name": "SAMANTHA",
        "middle_name": "CLAIRE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-11",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "4030464",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "0038048",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "0103466",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004679",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "BOLTON",
            "credential": "NP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anindita Chakrabarti, M.D.
• Tushar Kumar Chakravarty, MD
• Rahul Chalamala
• Sanam Sudarshan Chalan
• Kathleen Chalfont, PHD
• Cynthia Chalk
• Duanna Emilia Challenger-Kuethe, RRT
• Juthaporn Chaloeicheep
• Lauren Elizabeth Chalwell, M.D.
• Stephanie Cham, M.D.

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 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.