SAMANTHA LYNN MUSSER (FNP-C) – Family Nurse Practitioner, NPI 1174017701

SAMANTHA LYNN MUSSER (FNP-C) is a healthcare provider. based in Lewiston, Idaho. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 58914 (ID). The NPI Number for SAMANTHA LYNN MUSSER (FNP-C) is 1174017701

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA LYNN MUSSER (FNP-C)
NPI
1174017701
Phone
(208) 553-9250
Address
728 Stewart Ave
Enumeration Date
18 June 2018
Last Update Date
24 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2087432511
Graduation Year
2018 (8 years ago)
PAC ID
7416204193
Group Practice PAC ID
8325325806
Professional Enrollment ID
I20180726001298
Address ID
ID835012431LE415XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,798 NURSE PRACTITIONER in ID

Provider Addresses for SAMANTHA LYNN MUSSER (FNP-C)

  • 728 Stewart Ave

    Lewiston, ID 83501

    Phone: (208) 553-9250

    Type: Location

  • Saint Joseph's Regional Medical Center, 415, 6th Street, Lewiston, Nez Perce County, Idaho, 83501, United States

    LEWISTON, ID 835012431

    Phone: (208) 750-7379

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 5 Open Payments records for all available years, with a total value of $105.

Total Amount is formed as General ($105) + Research ($0) + Ownership ($0) = $105.

Last reported payment date: 2024-09-11 • Largest payer in this snapshot: Smith+Nephew, Inc. ($53).

Total Amount

$105

General + Research + Ownership

Payments

5

Total payment records

General Amount

$105

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-07-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180726001298INurse PractitionerIDTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99212Established patient office or other outpatient visit, 10-19 minutes408128$0
99213Established patient office or other outpatient visit, 20-29 minutes314123$0
11042Removal of skin and tissue, 20.0 sq cm or less27780$0
97597Removal of tissue from wound, 20.0 sq cm or less20266$0
99214Established patient office or other outpatient visit, 30-39 minutes9747$0
View full utilization report →

Insurance plans in this area (ZIP 83501)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8325325806View full group profile
NameSpecialtyState
General SurgeryUT
-ID
Interventional RadiologyWA
Nurse PractitionerWA
Family PracticeID
-ID
H E M A T O L O G Y/ O N C O L O G YID
General SurgeryCO
Orthopedic SurgeryID
-ID

Reviews

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Frequently asked questions

How do payers reference SAMANTHA LYNN MUSSER (FNP-C)?
For SAMANTHA LYNN MUSSER (FNP-C), use NPI 1174017701 as the unique 10-digit identifier.
Is there an active status for SAMANTHA LYNN MUSSER (FNP-C)?
For scheduling context, SAMANTHA LYNN MUSSER (FNP-C) is shown as active in the registry.
What expertise is attributed to SAMANTHA LYNN MUSSER (FNP-C)?
SAMANTHA LYNN MUSSER (FNP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA LYNN MUSSER (FNP-C)?
Travel planning: use Lewiston, Idaho as the reference point for SAMANTHA LYNN MUSSER (FNP-C), then confirm.
When was this NPI issued?
Enumeration for SAMANTHA LYNN MUSSER (FNP-C) is noted as June 18, 2018 where the registry provides it.

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