EMILY SAMBORN (NP) – Gerontology Nurse Practitioner, NPI 1942664024
Gerontology Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,720 NURSE PRACTITIONER in MN
Provider Addresses for EMILY SAMBORN (NP)
5525 Cedar Lake Rd S
St Louis Park, MN 554161420
Phone: (952) 541-7157
Fax: (952) 544-0587
Type: Location
PO BOX 686
CHANHASSEN, MN 553170686
Phone: (952) 541-7157
Fax: (952) 544-0587
Type: Mailing
Cedar Lake Road South, Cedarhurst, Saint Louis Park, Hennepin County, Minnesota, 55416, United States
ST LOUIS PARK, MN 554161420
Phone: (952) 541-7157
Fax: (952) 544-0587
Type: Location
PO BOX 43
MR 10860
MINNEAPOLIS, MN 554400043
Phone: (612) 262-1166
Fax: (612) 262-9035
Type: Mailing
2805 CAMPUS DR STE 115
PLYMOUTH, MN 554412677
Phone: (763) 577-7800
Fax: (763) 577-7855
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: 2016-04-14
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 |
|---|---|---|---|---|
| I20160414001162 | I | Nurse Practitioner | MN | 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 |
|---|---|---|---|---|
| 97811 | Acupuncture, each additional 15 minutes | 169 | 37 | $0 |
| 97810 | Acupuncture, initial 15 minutes | 139 | 37 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 62 | 26 | $0 |
| 97813 | Acupuncture with electrical stimulation, initial 15 minutes | 38 | 13 | $0 |
| 97814 | Acupuncture with electrical stimulation, each additional 15 minutes | 35 | 13 | $0 |
Insurance plans in this area (ZIP 55416)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Pulmonary Disease | CO | |
| Qualified Audiologist | MN | |
| Family Practice | MN | |
| - | MN | |
| Family Practice | MN | |
| Nurse Practitioner | ND | |
| - | MN | |
| - | MN | |
| - | MN | |
| - | MN |
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