SAMANTHA KOLKE – Acute Care Nurse Practitioner, NPI 1114577814

SAMANTHA KOLKE is a healthcare provider. based in Bay village, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. APRN.CNP.026341 (OH). The NPI Number for SAMANTHA KOLKE is 1114577814

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA KOLKE
NPI
1114577814
Phone
Not provided
Address
556 EDINBOROUGH DR
Enumeration Date
13 September 2019
Last Update Date
22 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2164448530
Graduation Year
2020 (6 years ago)
PAC ID
6507295821
Group Practice PAC ID
1850203555
Professional Enrollment ID
I20200407001573
Address ID
OH441950001CL9500XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience36
Completeness75
Years active:6State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

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Provider Addresses for SAMANTHA KOLKE

  • 556, Edinborough Drive, Bay Village, Cuyahoga County, Ohio, 44140, United States

    BAY VILLAGE, OH 441403014

    Phone:

    Type: Mailing

  • Cleveland Clinic, 9500, Euclid Avenue, Newton Avenue Historic District, University Circle, Cleveland, Cuyahoga County, Ohio, 44195, United States

    CLEVELAND, OH 441951716

    Phone: (216) 318-8112

    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: 2020-04-07

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
I20200407001573INurse PractitionerOHTBD

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
99291Critical care, first 30-74 minutes4342$0
36410Insertion of needle into vein (3 years or older)2119$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 44140)

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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: 1850203555View full group profile
NameSpecialtyState
-NV
Nephrology, Internal MedicineOH
-OH
-MI
Nurse PractitionerOH
General Surgery, Anesthesiology, Critical Care (Intensivists)OH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
-MN
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I verify SAMANTHA KOLKE with an NPI only?
You can start verification with NPI 1114577814 for SAMANTHA KOLKE, then check state licensing separately.
Is SAMANTHA KOLKE listed as active for patients and plans?
The listing shows SAMANTHA KOLKE as active in the NPI system.
What is SAMANTHA KOLKE's primary classification?
Acute Care Nurse Practitioner is the headline specialty for SAMANTHA KOLKE here. Clinical services aligned with this taxonomy classification.
What area does SAMANTHA KOLKE serve?
SAMANTHA KOLKE's listing highlights Bay Village, Ohio; more addresses can appear in NPPES.
Is the information about SAMANTHA KOLKE up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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