MRS. SAMANTHA SACERDOTE (APRN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1720840606

MRS. SAMANTHA SACERDOTE (APRN) is a healthcare provider. based in Holland, Massachusetts. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. RN2353157 (MA). The NPI Number for MRS. SAMANTHA SACERDOTE (APRN) is 1720840606

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SAMANTHA SACERDOTE (APRN)
NPI
1720840606
Phone
(860) 601-7815
Address
14 ISLAND RD
Enumeration Date
26 January 2024
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4135499232
Graduation Year
2023 (3 years ago)
PAC ID
6901242726
Group Practice PAC ID
6002861697
Professional Enrollment ID
I20240314001714
Address ID
MA010022265AM6XXXXDRXX301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

8,972 NURSE PRACTITIONER in MA

Provider Addresses for MRS. SAMANTHA SACERDOTE (APRN)

  • 14 ISLAND RD

    HOLLAND, MA 015212530

    Phone: (860) 601-7815

    Type: Mailing

  • 6 UNIVERSITY DR

    AMHERST, MA 010022360

    Phone: (413) 549-9232

    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: 2024-03-14

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
I20240314001714INurse PractitionerMATBD

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 01521)

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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: 6002861697View full group profile
NameSpecialtyState
P S Y C H I A T R YMA
Nurse PractitionerCT
Nurse PractitionerMA
-MA

Reviews

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Frequently asked questions

How do payers reference MRS. SAMANTHA SACERDOTE (APRN)?
For MRS. SAMANTHA SACERDOTE (APRN), use NPI 1720840606 as the unique 10-digit identifier.
Active or inactive — what applies to MRS. SAMANTHA SACERDOTE (APRN)?
You should see MRS. SAMANTHA SACERDOTE (APRN) as active in CMS-hosted NPPES data.
What clinical focus is listed for MRS. SAMANTHA SACERDOTE (APRN)?
At a glance, MRS. SAMANTHA SACERDOTE (APRN) is tied to Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is MRS. SAMANTHA SACERDOTE (APRN) located near Holland?
MRS. SAMANTHA SACERDOTE (APRN) currently maps to Holland, Massachusetts in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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