SAMANTHA J JIRAK (DNP) – Family Nurse Practitioner, NPI 1619442803
Family Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,529 NURSE PRACTITIONER in IA
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Provider Addresses for SAMANTHA J JIRAK (DNP)
4191, Carole Court, Linn County, Iowa, 52213, United States
CENTER POINT, IA 522139511
Phone: (319) 361-3837
Type: Mailing
504 N 9TH AVE
VINTON, IA 523492254
Phone: (319) 472-6300
Type: Mailing
Vinton Family Medical Clinic, 504, North 9th Avenue, Vinton, Benton County, Iowa, 52349, United States
VINTON, IA 523492254
Phone: (319) 472-6300
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $128.
Total Amount is formed as General ($128) + Research ($0) + Ownership ($0) = $128.
Last reported payment date: 2024-08-29 • Largest payer in this snapshot: Axsome Therapeutics, Inc. ($36).
Total Amount
$128
General + Research + Ownership
Payments
7
Total payment records
General Amount
$128
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-29
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Axsome Therapeutics, Inc. | $36 |
| Astellas Pharma US Inc | $25 |
| PFIZER INC. | $21 |
| Merck Sharp & Dohme LLC | $18 |
| Lilly USA, LLC | $15 |
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: 2018-12-18
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 |
|---|---|---|---|---|
| I20181218000770 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52213)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IA | |
| Physician Assistant | IA | |
| Family Practice | VA | |
| Physician Assistant | IA | |
| Physician Assistant | IA | |
| Emergency Medicine, Family Practice | IA | |
| Physician Assistant | IA | |
| Nurse Practitioner | IA | |
| Nurse Practitioner | IA | |
| Family Practice | IA |
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