MRS. SAMANTHA HELENE MITCHELL (FNP-C) – Dermatology Physician, NPI 1861755209
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,871 NURSE PRACTITIONER in ME
Provider Addresses for MRS. SAMANTHA HELENE MITCHELL (FNP-C)
90 RIDGEWOOD DR
BANGOR, ME 044012652
Phone: (207) 942-0669
Fax: (207) 947-3143
Type: Location
381 MAIN ST
ORONO, ME 044733446
Phone: (207) 942-0689
Fax: (207) 947-3143
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 80 Open Payments records for all available years, with a total value of $1,723.
Total Amount is formed as General ($1,723) + Research ($0) + Ownership ($0) = $1,723.
Last reported payment date: 2024-11-06 • Largest payer in this snapshot: ABBVIE INC. ($340).
Total Amount
$1,723
General + Research + Ownership
Payments
80
Total payment records
General Amount
$1,723
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $340 |
| Sun Pharmaceutical Industries Inc. | $268 |
| E.R. Squibb & Sons, L.L.C. | $236 |
| LEO Pharma Inc. | $168 |
| UCB, Inc. | $154 |
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: 2012-11-21
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 |
|---|---|---|---|---|
| I20121121000087 | I | Nurse Practitioner | ME | 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 |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 1,902 | 344 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 944 | 667 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 632 | 459 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 331 | 277 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 307 | 260 | $0 |
Insurance plans in this area (ZIP 04401)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | ME | 11101 | Biopsy of each additional growth of skin and/or tissue | 161 | 108 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Dermatology, Micrographic Dermatologic Surgery (Mds) | ME |
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