SAMANTHA JOY WARGOLET (APRN, CNP) – Family Nurse Practitioner, NPI 1417468323

SAMANTHA JOY WARGOLET (APRN, CNP) is a healthcare provider. based in Minneapolis, Minnesota. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN, CNP. They hold a License No. 8829 (MN). The NPI Number for SAMANTHA JOY WARGOLET (APRN, CNP) is 1417468323

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JOY WARGOLET (APRN, CNP)
NPI
1417468323
Phone
(612) 262-9000
Address
2925 CHICAGO AVE
Enumeration Date
18 October 2017
Last Update Date
7 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9528351311
Graduation Year
2020 (6 years ago)
PAC ID
7113286675
Group Practice PAC ID
4587573613
Professional Enrollment ID
I20230624000052
Address ID
MN554354551ED7373XSXXX401
Telehealth
Yes

Contacts

Secure Messaging
srhode630087@excellian.direct.allina.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

5,720 NURSE PRACTITIONER in MN

Provider Addresses for SAMANTHA JOY WARGOLET (APRN, CNP)

  • 2925 CHICAGO AVE

    MINNEAPOLIS, MN 554071321

    Phone: (612) 262-9000

    Type: Mailing

  • 7373 FRANCE AVE S STE 202

    EDINA, MN 554354551

    Phone: (952) 835-1311

    Fax: (952) 428-0099

    Type: Location

  • 400 EAST THIRD STREET

    ESSENTIA HEALTH DULUTH CLINIC MCL2CRED

    DULUTH, MN 558051951

    Phone: (218) 786-1183

    Type: Mailing

  • Chandler Drive, Spooner, Washburn County, Wisconsin, 54801, United States

    ESSENTIA HEALTH SPOONER CLINIC

    SPOONER, WI 548012204

    Phone: (715) 635-2151

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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: 2023-06-24

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
I20230624000052INurse PractitionerMNTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes5341$0
36415Insertion of needle into vein for collection of blood sample5042$0
99214Established patient office or other outpatient visit, 30-39 minutes3630$0
80053Blood test, comprehensive group of blood chemicals2218$0
80061Blood test, lipids (cholesterol and triglycerides)2020$0
View full utilization report →

Insurance plans in this area (ZIP 55407)

Loading plans...

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: 4587573613View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Is SAMANTHA JOY WARGOLET (APRN, CNP) listed with a National Provider Identifier?
Yes — SAMANTHA JOY WARGOLET (APRN, CNP) has NPI 1417468323 on file in the registry.
Is SAMANTHA JOY WARGOLET (APRN, CNP) still an active registrant?
SAMANTHA JOY WARGOLET (APRN, CNP) carries an active NPI according to the public dataset.
What clinical focus is listed for SAMANTHA JOY WARGOLET (APRN, CNP)?
At a glance, SAMANTHA JOY WARGOLET (APRN, CNP) is tied to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA JOY WARGOLET (APRN, CNP)?
Travel planning: use Minneapolis, Minnesota as the reference point for SAMANTHA JOY WARGOLET (APRN, CNP), then confirm.
When was this NPI issued?
Enumeration for SAMANTHA JOY WARGOLET (APRN, CNP) is noted as October 18, 2017 where the registry provides it.

Similar Providers

VA Medical Center, 1, Veterans Drive, Minneapolis, Hennepin County, Minnesota, 55417, United States
NPI: 1023012762

DR. SARA L. HUBBELL (NP)

Psychiatric/Mental Health Nurse Practitioner
615 SHIPYARD BLVD STE 400
NPI: 1538166566

MR. JAMES CALLISON (CFNP)

Family Nurse Practitioner
Peachtree Dunwoody Road, Atlanta, Georgia, 30326, United States
NPI: 1891794624

JANE K ANDERSON (CNP)

Family Nurse Practitioner
814, South 3rd Street, Minneapolis, Hennepin County, Minnesota, 55415, United States
NPI: 1780683722

JUDITH KAY WIGHTMAN (ARNP)

Nurse Practitioner
Union Plaza, 333, Washington Avenue North, Minneapolis, Hennepin County, Minnesota, 55401, United States
NPI: 1316946353

JOANNE RUTH MARSH (CNP)

Family Nurse Practitioner
530 DeMoss Street
NPI: 1285636712

MICHELE L MCKAY (APRN-BC)

Family Nurse Practitioner
Union Plaza, 333, Washington Avenue North, Minneapolis, Hennepin County, Minnesota, 55401, United States
NPI: 1245223692

GWENDOLYN MARTINIQUE KOSEVICH (MSN)

Family Nurse Practitioner
8170 33RD AVE S # MS 21110Q
NPI: 1013901875