SAMANTHA RACHEL BOCK (CRNA) – Registered Nurse, NPI 1780256594

SAMANTHA RACHEL BOCK (CRNA) is a healthcare provider. based in Byron center, Michigan. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 4704321085 (MI). The NPI Number for SAMANTHA RACHEL BOCK (CRNA) is 1780256594

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA RACHEL BOCK (CRNA)
NPI
1780256594
Phone
(810) 333-3205
Address
7125 MARSHWOOD DR SW APT 3A
Enumeration Date
12 July 2021
Last Update Date
6 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6163915600
Graduation Year
2022 (4 years ago)
PAC ID
3678923810
Group Practice PAC ID
4587568647
Professional Enrollment ID
I20231229001337
Address ID
MI495084600KE4444XSEXX401

Contacts

FHIR Endpoint
https://epicarr02.spectrumhealth.org/EpicFHIR/api/FHIR/R4/
Secure Messaging
sbock181390@epic00.corewelldirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness95
Years active:4State licenses:1Other names

2,692 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MI

Provider Addresses for SAMANTHA RACHEL BOCK (CRNA)

  • 7125 MARSHWOOD DR SW APT 3A

    BYRON CENTER, MI 493158882

    Phone: (810) 333-3205

    Type: Mailing

  • 1500 E SHERMAN BLVD

    MUSKEGON, MI 494441849

    Phone: (231) 672-2000

    Type: Location

  • 1309 Sheldon Rd

    Grand Haven, MI 494172404

    Phone: (616) 842-3600

    Type: Location

  • 100 MICHIGAN ST NE

    MC 845

    GRAND RAPIDS, MI 495032560

    Phone:

    Type: Mailing

  • 15100 WHITTAKER WAY

    GRAND HAVEN, MI 494178696

    Phone: (616) 772-4644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $45.

Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($45).

Total Amount

$45

General + Research + Ownership

Payments

3

Total payment records

General Amount

$45

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$45
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: 2023-12-29

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
I20231229001337ICertified Registered Nurse Anesthetist (Crna)MITBD

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 49315)

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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: 4587568647View full group profile
NameSpecialtyState
Critical Care (Intensivists)IL
Physician AssistantMI
Physician AssistantMI
Physician AssistantMI
-MI
Vascular SurgeryIL
-MI
-MI
A N E S T H E S I O L O G YTX
Clinical Social WorkerMI

Reviews

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Frequently asked questions

What is SAMANTHA RACHEL BOCK (CRNA)'s NPI number?
SAMANTHA RACHEL BOCK (CRNA)'s NPI is 1780256594 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to SAMANTHA RACHEL BOCK (CRNA)?
You should see SAMANTHA RACHEL BOCK (CRNA) as active in CMS-hosted NPPES data.
What expertise is attributed to SAMANTHA RACHEL BOCK (CRNA)?
SAMANTHA RACHEL BOCK (CRNA)'s specialty line reads Registered Nurse. Clinical services aligned with this taxonomy classification.
What locale is associated with SAMANTHA RACHEL BOCK (CRNA)?
Directory geography for SAMANTHA RACHEL BOCK (CRNA) centers on Byron Center, Michigan.
When was this NPI issued?
Enumeration for SAMANTHA RACHEL BOCK (CRNA) is noted as July 12, 2021 where the registry provides it.

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