SAMANTHA BOLTON (DNP) – Advanced Practice Midwife, NPI 1558059683

SAMANTHA BOLTON (DNP) is a healthcare provider. based in Riverton, Utah. specializing in CERTIFIED NURSE MIDWIFE (CNM). They hold the professional credentials DNP. They hold a License No. 8510211-4402 (UT). The NPI Number for SAMANTHA BOLTON (DNP) is 1558059683

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA BOLTON (DNP)
NPI
1558059683
Phone
(801) 285-4700
Address
3723 W 12600 S Ste 360
Enumeration Date
26 April 2023
Last Update Date
21 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8015856387
Graduation Year
2024 (2 years ago)
PAC ID
5991239626
Group Practice PAC ID
0941525273
Professional Enrollment ID
I20241118000239
Address ID
UT841320100SA50XXXDRXX400

Contacts

Secure Messaging
sbolton88650@direct.med.utah.edu
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness95
Years active:3State licenses:2Other names

113 CERTIFIED NURSE MIDWIFE (CNM) in UT

Provider Addresses for SAMANTHA BOLTON (DNP)

  • 3723 W 12600 S Ste 360

    Riverton, UT 840657296

    Phone: (801) 285-4700

    Type: Location

  • 527 W 400 N

    OREM, UT 840571916

    Phone: (801) 714-3570

    Type: Mailing

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: 2024-11-18

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
I20241118000239ICertified Nurse Midwife (Cnm)UTTBD

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 84065)

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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: 0941525273View full group profile
NameSpecialtyState
-UT
-UT
Emergency MedicineCO
-UT
A N E S T H E S I O L O G YUT
Physician AssistantUT
-IL
Plastic And Reconstructive SurgeryOH
Physician AssistantCA
A N E S T H E S I O L O G YUT

Reviews

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Frequently asked questions

What federal number belongs to SAMANTHA BOLTON (DNP)?
The federal identifier for SAMANTHA BOLTON (DNP) is NPI 1558059683.
Is SAMANTHA BOLTON (DNP) currently active in the NPI registry?
CMS-published data lists SAMANTHA BOLTON (DNP) as an active registrant.
What kind of provider is SAMANTHA BOLTON (DNP)?
The page reflects Advanced Practice Midwife for SAMANTHA BOLTON (DNP). Clinical services aligned with this taxonomy classification.
Does SAMANTHA BOLTON (DNP) practice in Utah?
You will see Riverton, Utah on file for SAMANTHA BOLTON (DNP) alongside any extra practice locations.
Is SAMANTHA BOLTON (DNP) a real provider?
This page reflects official NPPES data for NPI 1558059683. Always confirm identity and privileges with the practice and licensing boards.

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