SAMANTHA VAN GORP (ARNP) – Family Nurse Practitioner, NPI 1205347978
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
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Provider Addresses for SAMANTHA VAN GORP (ARNP)
9th Avenue Northwest, Arlington, Sibley County, Minnesota, 55307, United States
SIBLEY, IA 512491012
Phone: (712) 754-2900
Type: Location
1500, Sunrise Court, Sheldon, O'Brien County, Iowa, 51201, United States
SHELDON, IA 512011249
Phone: (712) 344-0110
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: 2017-11-27
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 |
|---|---|---|---|---|
| I20171127000973 | I | Nurse Practitioner | IA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 22 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 25 | 18 | $0 |
Insurance plans in this area (ZIP 51249)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Family Practice | IA | |
| Nurse Practitioner | IA | |
| - | IA | |
| Family Practice | MN | |
| - | SD | |
| Family Practice | IA | |
| - | IA | |
| Nurse Practitioner | IA | |
| Clinical Social Worker | IA |
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