SAMANTHA ANN CROSSLEY – Family Medicine Physician, NPI 1760418057

SAMANTHA ANN CROSSLEY is a healthcare provider. based in International falls, Minnesota. specializing in FAMILY PRACTICE. They hold a License No. 45201 (MN). The NPI Number for SAMANTHA ANN CROSSLEY is 1760418057

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA ANN CROSSLEY
NPI
1760418057
Phone
(218) 283-9431
Address
2501 KEENAN DR
Enumeration Date
25 June 2006
Last Update Date
6 May 2011

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF WISCONSIN
Secondary Phone
2182839431
Graduation Year
1999 (27 years ago)
PAC ID
6305999376
Group Practice PAC ID
7810149002
Professional Enrollment ID
I20090810000093
Address ID
MN566492181IN2501XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,076 FAMILY PRACTICE in MN

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Provider Addresses for SAMANTHA ANN CROSSLEY

  • 2501, Keenan Drive, International Falls, Koochiching County, Minnesota, 56649, United States

    INTERNATIONAL FALLS, MN 566492181

    Phone: (218) 283-9431

    Mailing address matches the actual address.

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: 2009-08-10

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
I20090810000093IFamily PracticeMNTBD

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 56649)

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Provider's Procedures

SAMANTHA ANN CROSSLEY performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEMN85610Blood test, clotting time25534
FAMILY MEDICINEMN90670Pneumococcal vaccine for injection into muscle2424

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: 7810149002View full group profile
NameSpecialtyState
-MN
Family PracticeMN
Family Practice, Emergency MedicineMN
-MN
General SurgeryMN
Family PracticeMN
Family PracticeMN
Nurse PractitionerMN
Nurse PractitionerMN
Nurse PractitionerMN

Reviews

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Frequently asked questions

How is SAMANTHA ANN CROSSLEY identified in CMS data?
CMS-hosted NPPES data lists SAMANTHA ANN CROSSLEY with NPI 1760418057.
Is SAMANTHA ANN CROSSLEY still practicing?
SAMANTHA ANN CROSSLEY is currently listed as active in the public NPI registry.
What taxonomy line describes SAMANTHA ANN CROSSLEY?
For research purposes, treat SAMANTHA ANN CROSSLEY as Family Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does SAMANTHA ANN CROSSLEY list a practice location?
Patients near International Falls, Minnesota may find SAMANTHA ANN CROSSLEY in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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