SAMANTHA ANN BANEY (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1679128730
Psychiatric/Mental Health Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
11,632 NURSE PRACTITIONER in IL
Provider Addresses for SAMANTHA ANN BANEY (APRN)
7117 Crimson Ridge Dr Ste 3
Rockford, IL 611076213
Phone: (815) 316-8700
Fax: (310) 356-4935
Type: Location
1311 Parkview Ave
Rockford, IL 611071899
Phone: (815) 399-8832
Type: Location
15355 E Dees Dr
Monroe Center, IL 610529747
Phone: (815) 543-0545
Type: Location
6131 Park Ridge Rd
Loves Park, IL 611114029
Phone: (815) 543-0545
Type: Location
Amberwood Care Center, 2313, North Rockton Avenue, Rockford, Winnebago County, Illinois, 61103, United States
ROCKFORD, IL 611033618
Phone: (815) 964-2200
Fax: (815) 965-7722
Type: Location
15355 E DEES DR
MONROE CENTER, IL 610529747
Phone: (815) 543-0545
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2019-08-28
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190828001627 | I | Nurse Practitioner | IL | 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 61107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL |
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