SAMANTHA WARNER – Occupational Therapist, NPI 1104206846
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for SAMANTHA WARNER
612 E OAK ST
GLENWOOD CITY, WI 540138520
Phone: (715) 265-4325
Fax: (715) 235-4375
Type: Mailing
612 E Oak St
Glenwood City, WI 540138520
Phone: (715) 265-4325
Fax: (715) 235-4375
Type: Location
1710 SUBURBAN AVE
SAINT PAUL, MN 551066636
Phone: (651) 254-3200
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: 2017-03-09
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20170309001072 | I | Occupational Therapist In Private Practice | MN | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97535 | Training for self-care or home management, each 15 minutes | 39 | 16 | $0 |
Insurance plans in this area (ZIP 54013)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Emergency Medicine | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physical Therapist In Private Practice | MN | |
| Occupational Therapist In Private Practice | MN | |
| Physical Therapist In Private Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | MN | |
| Physical Therapist In Private Practice | MN | |
| Certified Registered Nurse Anesthetist (Crna) | CA | |
| Physical Therapist In Private Practice | MN |
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