SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1295984367

SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials WHNP-BC, CNM, PMHNP. They hold a License No. SP010693 (PA). The NPI Number for SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP) is 1295984367

Main info

Female
7 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP)
NPI
1295984367
Phone
(412) 831-0355
Address
180 FORT COUCH RD
Enumeration Date
15 September 2008
Last Update Date
23 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4123197866
Graduation Year
2019 (7 years ago)
PAC ID
6901953272
Group Practice PAC ID
2466860028
Professional Enrollment ID
I20120306000435
Address ID
PA150171269BR200XXRDXX404
Telehealth
Yes

Contacts

Secure Messaging
drdan@psycareinc.gwaydirect.com
Secure Messaging
peaceofmind@pompsychiatry.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness85
Years active:17State licenses:2Other namesUpdated within 12 months

11,469 NURSE PRACTITIONER in PA

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Provider Addresses for SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP)

  • 180 FORT COUCH RD

    PITTSBURGH, PA 152411041

    Phone: (412) 831-0355

    Type: Mailing

  • Mc Murray, Venetia, Peters Township, Washington County, Pennsylvania, 15332-3246, United States

    MC MURRAY, PA 153172594

    Phone: (724) 941-1866

    Fax: (724) 941-6751

    Type: Location

  • 6000 Waterdam Plaza Dr Ste 270

    Mc Murray, PA 153175409

    Phone: (412) 923-6070

    Type: Location

  • 200 OLD POND RD STE 107

    BRIDGEVILLE, PA 150171269

    Phone: (412) 319-7866

    Fax: (412) 914-8635

    Type: Mailing

  • 312 6TH AVE STE 2

    SOUTH CHARLESTON, WV 253031265

    Phone: (304) 768-6170

    Type: Mailing

  • 6000 WATERDAM PLAZA DR STE 270

    MC MURRAY, PA 153175409

    Phone: (412) 923-6070

    Fax: (724) 203-6633

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 151 Open Payments records for all available years, with a total value of $2,731.

Total Amount is formed as General ($2,731) + Research ($0) + Ownership ($0) = $2,731.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($578).

Total Amount

$2,731

General + Research + Ownership

Payments

151

Total payment records

General Amount

$2,731

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

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: 2012-03-06

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
I20120306000435INurse PractitionerPATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 15241)

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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: 2466860028View full group profile
NameSpecialtyState
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerPA
Nurse PractitionerOH

Reviews

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Frequently asked questions

What federal number belongs to SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP)?
The federal identifier for SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP) is NPI 1295984367.
Is SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP) currently active in the NPI registry?
CMS-published data lists SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP) as an active registrant.
What kind of provider is SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP)?
The page reflects Psychiatric/Mental Health Nurse Practitioner for SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP). Clinical services aligned with this taxonomy classification.
Where does public data place SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP)?
The snapshot lists Pittsburgh, Pennsylvania for SAMANTHA A PAVLICK (WHNP-BC, CNM, PMHNP); download NPPES for the complete set.
What if Pittsburgh, Pennsylvania seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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