SAMANTHA MARIE RASOR (NURSE PRACTITIONER) – Nurse Practitioner, NPI 1043772239

SAMANTHA MARIE RASOR (NURSE PRACTITIONER) is a healthcare provider. based in Dexter, Michigan. specializing in NURSE PRACTITIONER. They hold the professional credentials NURSE PRACTITIONER. They hold a License No. 4704290415 (MI). The NPI Number for SAMANTHA MARIE RASOR (NURSE PRACTITIONER) is 1043772239

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MARIE RASOR (NURSE PRACTITIONER)
NPI
1043772239
Phone
(734) 552-6218
Address
3319 CENTRAL ST APT 1
Enumeration Date
5 April 2019
Last Update Date
30 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7349987207
Graduation Year
2018 (8 years ago)
PAC ID
0143563684
Group Practice PAC ID
3779496856
Professional Enrollment ID
I20190523002295
Address ID
MI481081605AN375XXCIRX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:7State licenses:1Digital endpointsOther names

8,106 NURSE PRACTITIONER in MI

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Provider Addresses for SAMANTHA MARIE RASOR (NURSE PRACTITIONER)

  • Central Street, Dexter, Washtenaw County, Michigan, 48130, United States

    DEXTER, MI 481301174

    Phone: (734) 552-6218

    Type: Mailing

  • 900, Michigan Avenue, 18th & Vine Jazz District, Kansas City, Jackson County, Missouri, 64127, United States

    JACKSON, MI 492012457

    Phone: (734) 782-3190

    Type: Location

  • 900 E Michigan Ave

    Jackson, MI 492012457

    Phone: (734) 782-3190

    Type: Location

  • 205 N East Ave

    Jackson, MI 492011753

    Phone: (517) 205-4800

    Type: Location

  • 3621 S STATE ST

    ANN ARBOR, MI 481081633

    Phone: (734) 647-5299

    Type: Mailing

  • 325 BRIARWOOD CIR

    ANN ARBOR, MI 481081605

    Phone: (888) 287-1082

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $125.

Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.

Last reported payment date: 2023-06-28 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($125).

Total Amount

$125

General + Research + Ownership

Payments

1

Total payment records

General Amount

$125

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-06-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2019-05-23

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
I20190523002295INurse PractitionerMITBD

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
99215Established patient office or other outpatient visit, 40-54 minutes244201$0
99214Established patient office or other outpatient visit, 30-39 minutes7972$0
99213Established patient office or other outpatient visit, 20-29 minutes1919$0
View full utilization report →

Insurance plans in this area (ZIP 48130)

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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: 3779496856View full group profile
NameSpecialtyState
G A S T R O E N T E R O L O G YFL
Physical Medicine And RehabilitationMI
A N E S T H E S I O L O G YMI
Internal Medicine, Pediatric MedicineIL
-MI
Physician AssistantMI

Reviews

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Frequently asked questions

What is SAMANTHA MARIE RASOR (NURSE PRACTITIONER)'s NPI number?
SAMANTHA MARIE RASOR (NURSE PRACTITIONER)'s NPI is 1043772239 — the number used across U.S. healthcare to identify this provider.
Is SAMANTHA MARIE RASOR (NURSE PRACTITIONER) shown as active in public data?
Registry records indicate SAMANTHA MARIE RASOR (NURSE PRACTITIONER) maintains an active NPI.
What area of care is associated with SAMANTHA MARIE RASOR (NURSE PRACTITIONER)?
SAMANTHA MARIE RASOR (NURSE PRACTITIONER)'s record emphasizes Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMANTHA MARIE RASOR (NURSE PRACTITIONER) associated with Dexter?
Public fields place SAMANTHA MARIE RASOR (NURSE PRACTITIONER) around Dexter, Michigan. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for SAMANTHA MARIE RASOR (NURSE PRACTITIONER) is noted as April 5, 2019 where the registry provides it.

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