DUSTIE ANGELA SAMUELS (D.O.) – Family Medicine Physician, NPI 1386026953
Family Medicine Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
3,075 FAMILY PRACTICE in MN
Provider Addresses for DUSTIE ANGELA SAMUELS (D.O.)
400 EAST THIRD STREET
MCL2CRED
DULUTH, MN 558051951
Phone: (218) 786-3146
Type: Mailing
138 MAIN ST S
PIERZ, MN 56364
Phone: (320) 468-2587
Type: Location
361 GRANT AVE
JUNCTION CITY, KS 664414201
Phone: (785) 238-4711
Type: Mailing
1000 HOSPITAL DR
MCPHERSON, KS 674602326
Phone: (620) 241-7400
Fax: (620) 798-2613
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 35 Open Payments records for all available years, with a total value of $527.
Total Amount is formed as General ($527) + Research ($0) + Ownership ($0) = $527.
Last reported payment date: 2024-10-10 • Largest payer in this snapshot: ABBVIE INC. ($228).
Total Amount
$527
General + Research + Ownership
Payments
35
Total payment records
General Amount
$527
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $228 |
| Amgen Inc. | $73 |
| Salix Pharmaceuticals, a division of Bausch Health US, LLC | $41 |
| PFIZER INC. | $33 |
| Lilly USA, LLC | $30 |
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: 2017-04-20
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 |
|---|---|---|---|---|
| I20170420001630 | I | Family Practice | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 55805)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Psychologist, Mental Health Counselor | KS | |
| - | KS | |
| Nurse Practitioner | KS | |
| Family Practice | KS | |
| Marriage And Family Therapist | KS | |
| Physician Assistant | TN | |
| - | KS | |
| - | KS | |
| Clinical Social Worker | KY | |
| Nurse Practitioner | KS |
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