SAMANTHA ALEXANDRIA COLLINS (DNP,FNP-C) – Nurse Practitioner, NPI 1215481924
Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMANTHA ALEXANDRIA COLLINS (DNP,FNP-C)
602 S 42nd St
Mount Vernon, IL 628646264
Phone: (618) 899-3278
Fax: (618) 242-1853
Type: Location
1000 Crossroads Pl
High Ridge, MO 630492234
Phone: (314) 687-2722
Type: Location
1821 S Stoughton Rd
Madison, WI 537162257
Phone: (314) 989-6807
Fax: (314) 989-2940
Type: Location
PO BOX 955534
SAINT LOUIS, MO 631951530
Phone:
Type: Mailing
Walgreens, 2, Cottonwood Road, Glen Carbon, Madison County, Illinois, 63034, United States
GLEN CARBON, IL 620342782
Phone: (314) 687-2733
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $376.
Total Amount is formed as General ($376) + Research ($0) + Ownership ($0) = $376.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: Salix Pharmaceuticals, a division of Bausch Health US, LLC ($157).
Total Amount
$376
General + Research + Ownership
Payments
23
Total payment records
General Amount
$376
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2021-06-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160906000144 | I | Nurse Practitioner | IL | TBD |
| I20170929001652 | I | Nurse Practitioner | MO | TBD |
| I20210603001384 | I | Nurse Practitioner | WI | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62864)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| - | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Interventional Pain Management, Anesthesiology | MO |
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