SAMANTHA PHYLLIS PARADIS (FNP) – Family Nurse Practitioner, NPI 1356903082

SAMANTHA PHYLLIS PARADIS (FNP) is a healthcare provider. based in Fort fairfield, Maine. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP. They hold a License No. CNP191086 (ME). The NPI Number for SAMANTHA PHYLLIS PARADIS (FNP) is 1356903082

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA PHYLLIS PARADIS (FNP)
NPI
1356903082
Phone
(207) 768-4753
Address
23 HIGH ST
Enumeration Date
2 July 2019
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8006838313
Graduation Year
2019 (7 years ago)
PAC ID
1759619554
Group Practice PAC ID
7810247533
Professional Enrollment ID
I20230403001543
Address ID
NH038673139RO40XXXSTXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:6State licenses:1Digital endpointsOther names

1,869 NURSE PRACTITIONER in ME

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Provider Addresses for SAMANTHA PHYLLIS PARADIS (FNP)

  • The Aroostook Medical Center Fort Fairfield Health, 23, High Street, Fort Fairfield, Aroostook County, Maine, 04742, United States

    FORT FAIRFIELD, ME 047421021

    Phone: (207) 768-4753

    Type: Location

  • 931, Union Street, Bangor, Penobscot County, Maine, 04401, United States

    BANGOR, ME 044013011

    Phone:

    Type: Mailing

  • 118 BENNETT DR

    CARIBOU, ME 047362052

    Phone: (207) 498-3502

    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: 2024-03-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 6 Medicare enrollment records; no due dates published yet.

Enrollment records

6

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
I20190816002968INurse PractitionerMETBD
I20230403001543INurse PractitionerNHTBD
I20230411000610INurse PractitionerFLTBD
I20230719003333INurse PractitionerCATBD
I20240110004999INurse PractitionerWVTBD
I20240306002660INurse PractitionerVATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 04742)

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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: 7810247533View full group profile
NameSpecialtyState
Nurse PractitionerIN
Nurse PractitionerIN
Family PracticeME
Nurse PractitionerIN
Nurse PractitionerWV
Anesthesiology, Pain ManagementCA
Osteopathic Manipulative MedicineME
Emergency MedicineIN
Nurse PractitionerIN
Nurse PractitionerKY

Reviews

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Frequently asked questions

What unique ID ties claims to SAMANTHA PHYLLIS PARADIS (FNP)?
NPI 1356903082 is assigned to SAMANTHA PHYLLIS PARADIS (FNP) under the national enumeration system.
Is SAMANTHA PHYLLIS PARADIS (FNP) active in the national directory?
SAMANTHA PHYLLIS PARADIS (FNP)'s public NPI profile is in an active state.
Can you summarize SAMANTHA PHYLLIS PARADIS (FNP)'s specialty in plain language?
Clinically, the directory lists SAMANTHA PHYLLIS PARADIS (FNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for SAMANTHA PHYLLIS PARADIS (FNP)?
We surface Fort Fairfield, Maine for SAMANTHA PHYLLIS PARADIS (FNP) based on available NPPES addresses.
How can I contact SAMANTHA PHYLLIS PARADIS (FNP)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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