SAMANTHA LYNNE MASHBURN (FNP-PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1851769350
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,106 NURSE PRACTITIONER in MI
Provider Addresses for SAMANTHA LYNNE MASHBURN (FNP-PMHNP-BC)
1965 S FREMONT AVE STE 330
SPRINGFIELD, MO 658042251
Phone: (417) 820-8180
Fax: (417) 820-8261
Type: Mailing
1485 E M 21
OWOSSO, MI 488679048
Phone: (989) 494-0300
Type: Mailing
3600 S NATIONAL AVE
SPRINGFIELD, MO 658077311
Phone: (417) 322-6622
Fax: (417) 350-1935
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 55 Open Payments records for all available years, with a total value of $1,408.
Total Amount is formed as General ($1,408) + Research ($0) + Ownership ($0) = $1,408.
Last reported payment date: 2024-04-10 • Largest payer in this snapshot: ABBVIE INC. ($834).
Total Amount
$1,408
General + Research + Ownership
Payments
55
Total payment records
General Amount
$1,408
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-04-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $834 |
| Otsuka America Pharmaceutical, Inc. | $236 |
| ITI, Inc. | $67 |
| Axsome Therapeutics, Inc. | $66 |
| Takeda Pharmaceuticals U.S.A., Inc. | $62 |
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: 2023-01-17
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20170427000211 | I | Nurse Practitioner | MO | TBD |
| I20230117000034 | I | Nurse Practitioner | AR | 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 |
|---|---|---|---|---|
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 104 | 50 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 87 | 46 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 34 | 17 | $0 |
| 80305 | Testing for presence of drug, read by direct observation | 27 | 20 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 65804)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| - | MO | |
| - | MO | |
| Clinical Psychologist | MO | |
| Nurse Practitioner | MO | |
| - | MO | |
| U R O L O G Y | MO | |
| P O D I A T R Y | MO | |
| - | KS |
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