SAMANTHA WALTERS – Family Nurse Practitioner, NPI 1306599741

SAMANTHA WALTERS is a healthcare provider. based in Centerville, Iowa. specializing in NURSE PRACTITIONER. They hold a License No. A167145 (IA). The NPI Number for SAMANTHA WALTERS is 1306599741

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA WALTERS
NPI
1306599741
Phone
(319) 666-4224
Address
1208 E CROSS ST
Enumeration Date
26 January 2022
Last Update Date
15 March 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7127293545
Graduation Year
2021 (5 years ago)
PAC ID
8820481971
Group Practice PAC ID
6800707100
Professional Enrollment ID
I20220212000202
Address ID
IA512487731SA321XXSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

3,529 NURSE PRACTITIONER in IA

Provider Addresses for SAMANTHA WALTERS

  • 1208 E CROSS ST

    CENTERVILLE, IA 525443501

    Phone: (319) 666-4224

    Type: Mailing

  • 305 W 3RD ST

    KINGSLEY, IA 510285064

    Phone: (712) 378-2400

    Type: Location

  • 305 W 3rd St

    Kingsley, IA 510285064

    Phone: (712) 378-2400

    Type: Location

  • PO BOX 5074

    SIOUX FALLS, SD 571175074

    Phone:

    Type: Mailing

  • 800 OAK ST

    SHELDON, IA 512011242

    Phone: (712) 324-5356

    Type: Location

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: 2022-02-12

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
I20220212000202INurse PractitionerIATBD

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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes2413$0
View full utilization report →

Insurance plans in this area (ZIP 52544)

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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: 6800707100View full group profile
NameSpecialtyState
Family PracticeSD
Family PracticeMN
Nurse PractitionerSD
Nurse PractitionerSD
-SD
Nurse PractitionerSD
Nurse PractitionerMN
Orthopedic SurgerySC
Physician AssistantMN
Certified Registered Nurse Anesthetist (Crna)SD

Reviews

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Frequently asked questions

Can I verify SAMANTHA WALTERS with an NPI only?
You can start verification with NPI 1306599741 for SAMANTHA WALTERS, then check state licensing separately.
Is SAMANTHA WALTERS still practicing?
SAMANTHA WALTERS is currently listed as active in the public NPI registry.
What is SAMANTHA WALTERS's primary classification?
Family Nurse Practitioner is the headline specialty for SAMANTHA WALTERS here. Clinical services aligned with this taxonomy classification.
Where should I expect SAMANTHA WALTERS on a map?
Expect Centerville, Iowa as a primary anchor for SAMANTHA WALTERS unless the record lists multiple sites.
Is the information about SAMANTHA WALTERS up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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