SAMANTHA MAE WEYANDT – Family Nurse Practitioner, NPI 1174247043

SAMANTHA MAE WEYANDT is a healthcare provider. based in Navarre, Ohio. specializing in NURSE PRACTITIONER. They hold a License No. F10220123 (OH). The NPI Number for SAMANTHA MAE WEYANDT is 1174247043

Main info

Female
4 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA MAE WEYANDT
NPI
1174247043
Phone
(330) 933-0464
Address
9100 BLOUGH AVE SW
Enumeration Date
3 October 2022
Last Update Date
21 February 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3303637230
Graduation Year
2022 (4 years ago)
PAC ID
8123497583
Group Practice PAC ID
4284999897
Professional Enrollment ID
I20221207002522
Address ID
OH447084693CA2600XWXXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

14,984 NURSE PRACTITIONER in OH

Provider Addresses for SAMANTHA MAE WEYANDT

  • 9100 BLOUGH AVE SW

    NAVARRE, OH 446629284

    Phone: (330) 933-0464

    Type: Location

  • 1230 MARKET ST NE

    NAVARRE, OH 446628576

    Phone: (330) 879-5983

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 8 Open Payments records for all available years, with a total value of $232.

Total Amount is formed as General ($232) + Research ($0) + Ownership ($0) = $232.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Lucid Diagnostics Inc. ($125).

Total Amount

$232

General + Research + Ownership

Payments

8

Total payment records

General Amount

$232

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-12-07

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
I20221207002522INurse 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
99213Established patient office or other outpatient visit, 20-29 minutes9665$0
99214Established patient office or other outpatient visit, 30-39 minutes3932$0
36415Insertion of needle into vein for collection of blood sample2624$0
99495Transitional care management services for problem of at least moderate complexity2018$0
View full utilization report →

Insurance plans in this area (ZIP 44662)

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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: 4284999897View full group profile
NameSpecialtyState
N E U R O L O G YNY
Neurology, Internal Medicine, Sleep MedicinePA
N E U R O L O G YOH
N E U R O L O G YOH
Internal MedicineOH
Family PracticeOH
G A S T R O E N T E R O L O G YOH
Hospitalist, GastroenterologyMO

Reviews

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Frequently asked questions

Does SAMANTHA MAE WEYANDT have a public NPI I can cite?
Public records show SAMANTHA MAE WEYANDT under NPI 1174247043.
Does the public listing show SAMANTHA MAE WEYANDT as active?
SAMANTHA MAE WEYANDT's NPI record reflects an active status in NPPES.
What type of care does SAMANTHA MAE WEYANDT provide?
SAMANTHA MAE WEYANDT's profile centers on Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to SAMANTHA MAE WEYANDT?
SAMANTHA MAE WEYANDT is associated with Navarre, Ohio in the same public data insurers reference.
Can I export SAMANTHA MAE WEYANDT's record?
You can download the official NPPES record; we summarize key fields for readability.

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