KYMBERLY SAMOTIS (NP) – Acute Care Nurse Practitioner, NPI 1356897409
Acute Care Nurse Practitioner
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for KYMBERLY SAMOTIS (NP)
1015 S Washington Ave
Saginaw, MI 486012556
Phone: (989) 754-3000
Fax: (989) 754-3015
Type: Location
1015 S WASHINGTON AVE
SAGINAW, MI 486012556
Phone: (989) 754-3000
Fax: (989) 754-3015
Type: Mailing
PO BOX 779
TAWAS CITY, MI 487640779
Phone: (989) 362-9411
Fax: (989) 362-9925
Type: Mailing
Saint Joseph Hospital, 200, Hemlock Street, Tawas City, Iosco County, Michigan, 48764, United States
TAWAS CITY, MI 487639237
Phone: (989) 362-9351
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: 2017-01-19
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 |
|---|---|---|---|---|
| I20170119001896 | I | Nurse Practitioner | MI | 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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 206 | 189 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 90 | 87 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 22 | 21 | $0 |
| 12001 | Simple repair of surface wound of scalp, neck, underarms, trunk, arms, or legs, 2.5 cm or less | 12 | 12 | $0 |
Insurance plans in this area (ZIP 48601)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IN | |
| Physician Assistant | MD | |
| Physician Assistant | MI | |
| Emergency Medicine | WI | |
| Emergency Medicine | NH | |
| Physician Assistant | OR | |
| Emergency Medicine | GA | |
| Emergency Medicine | IL | |
| Emergency Medicine | IN | |
| - | OR |
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