SAMANTHA O'HALLORAN (CRNP - FNP) – Family Nurse Practitioner, NPI 1336973940

SAMANTHA O'HALLORAN (CRNP - FNP) is a healthcare provider. based in Bethlehem, Pennsylvania. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP - FNP. They hold a License No. SP030460 (PA). The NPI Number for SAMANTHA O'HALLORAN (CRNP - FNP) is 1336973940

Main info

Female
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA O'HALLORAN (CRNP - FNP)
NPI
1336973940
Phone
(484) 626-0480
Address
1 E BROAD ST STE 130
Enumeration Date
27 August 2024
Last Update Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4846260480
Graduation Year
2023 (3 years ago)
PAC ID
8527593029
Group Practice PAC ID
5698909117
Professional Enrollment ID
I20241120003572
Address ID
PA180348237CE3477XPKWY301
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness85
Years active:1State licenses:1Digital endpointsOther names

11,469 NURSE PRACTITIONER in PA

Provider Addresses for SAMANTHA O'HALLORAN (CRNP - FNP)

  • 1 E BROAD ST STE 130

    BETHLEHEM, PA 180185934

    Phone: (484) 626-0480

    Fax: (484) 896-9002

    Type: Mailing

  • 3477 CORPORATE PKWY STE 100

    CENTER VALLEY, PA 180348237

    Phone: (484) 626-0480

    Fax: (484) 896-9002

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $56.

Total Amount is formed as General ($56) + Research ($0) + Ownership ($0) = $56.

Last reported payment date: 2024-12-05 • Largest payer in this snapshot: Janssen Biotech, Inc. ($33).

Total Amount

$56

General + Research + Ownership

Payments

2

Total payment records

General Amount

$56

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-05

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: 2024-11-20

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
I20241120003572INurse 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 18018)

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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: 5698909117View full group profile
NameSpecialtyState
H O S P I T A L I S TPA
Nurse PractitionerPA
Nurse PractitionerVA
Clinical Social WorkerPA
-PA
Nurse PractitionerPA
Nurse PractitionerPA
Family PracticePA
Internal MedicinePA
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify SAMANTHA O'HALLORAN (CRNP - FNP) for billing?
Administrative and clinical systems typically use NPI 1336973940 for SAMANTHA O'HALLORAN (CRNP - FNP).
Quick check: is SAMANTHA O'HALLORAN (CRNP - FNP) active?
Public NPPES data shows SAMANTHA O'HALLORAN (CRNP - FNP) with an active NPI status right now.
What does the directory say SAMANTHA O'HALLORAN (CRNP - FNP) does?
Insurance directories may phrase it differently, but here SAMANTHA O'HALLORAN (CRNP - FNP) maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to SAMANTHA O'HALLORAN (CRNP - FNP)?
SAMANTHA O'HALLORAN (CRNP - FNP) shows a connection to Bethlehem, Pennsylvania in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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