SAMANTHA M COLON (APN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1487136750
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMANTHA M COLON (APN)
12 WISTERIA DR APT 1G
FORDS, NJ 088631106
Phone: (732) 801-8312
Type: Mailing
456 Glenbrook Rd Ste 11
Stamford, CT 069061800
Phone: (732) 515-5430
Fax: (732) 979-2412
Type: Location
103, Ridgedale Avenue, Cedar Knolls, Hanover Township, Morris County, New Jersey, 07927, United States
CEDAR KNOLLS, NJ 079271106
Phone: (973) 295-6335
Type: Location
31 LA VALLEY DR
MANALAPAN, NJ 077268040
Phone: (732) 801-8312
Fax: (732) 979-2412
Type: Mailing
65 MECHANIC ST
RED BANK, NJ 077011869
Phone: (732) 515-5430
Fax: (732) 979-2412
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 62 Open Payments records for all available years, with a total value of $1,111.
Total Amount is formed as General ($1,111) + Research ($0) + Ownership ($0) = $1,111.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($440).
Total Amount
$1,111
General + Research + Ownership
Payments
62
Total payment records
General Amount
$1,111
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Takeda Pharmaceuticals U.S.A., Inc. | $440 |
| ABBVIE INC. | $318 |
| Otsuka America Pharmaceutical, Inc. | $99 |
| Neos Therapeutics, LP | $60 |
| Alkermes, Inc. | $40 |
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: 2018-10-04
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 |
|---|---|---|---|---|
| I20181004000558 | I | Nurse Practitioner | NJ | 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 08863)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| - | NJ | |
| Nurse Practitioner | PA | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Nurse Practitioner | NJ | |
| - | NJ |
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