Emily Samborn, NP - Medicare Nurse Practitioner in Plymouth, MN

Emily Samborn, NP is a medicare enrolled "Nurse Practitioner - Gerontology" in Plymouth, Minnesota. Her current practice location is 2805 Campus Dr Ste 115, Plymouth, Minnesota. You can reach out to her office (for appointments etc.) via phone at (763) 577-7800.

Emily Samborn is licensed to practice in Minnesota (license number CNP4458) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1942664024.

Contact Information

Emily Samborn, NP
2805 Campus Dr Ste 115,
Plymouth, MN 55441-2677
(763) 577-7800
(763) 577-7855

Map and Direction




Provider's Profile

Full NameEmily Samborn
GenderFemale
SpecialityNurse Practitioner - Gerontology
Location2805 Campus Dr Ste 115, Plymouth, Minnesota
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1942664024
  • Provider Enumeration Date: 04/05/2016
  • Last Update Date: 12/05/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 4587962147
  • Enrollment ID: I20160414001162

Medical Identifiers

Medical identifiers for Emily Samborn such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1942664024NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LG0600XNurse Practitioner - Gerontology CNP4458 (Minnesota)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Emily Samborn allows following entities to bill medicare on her behalf.
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1295272342
PECOS PAC ID: 4587573613
Enrollment ID: O20040319000460
Entity NameAllina Health System
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1457657249
PECOS PAC ID: 4587573613
Enrollment ID: O20221213001713

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Emily Samborn is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Emily Samborn, NP
Po Box 43, Mr 10860,
Minneapolis, MN 55440-0043

Ph: (612) 262-1166
Emily Samborn, NP
2805 Campus Dr Ste 115,
Plymouth, MN 55441-2677

Ph: (763) 577-7800

Reviews and Comments


Nurse Practitioner Nurses in Plymouth, MN

Jackie L Collins, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2805 Campus Dr Ste 105, Plymouth, MN 55441
Phone: 763-519-7440    Fax: 763-519-7445
Mrs. Ellie Flannery, RN, CPNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 5046 Everest Ln N, Plymouth, MN 55446
Phone: 612-669-8725    
Khrystyna Antonova, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 15552 57th Pl N, Plymouth, MN 55446
Phone: 612-481-1842    
Sarah Irene Hare,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4140 County Road 101 N, Plymouth, MN 55446
Phone: 763-478-4612    
Natalie Brandsrud, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18205 45th Ave N Ste C, Plymouth, MN 55446
Phone: 763-400-7828    
John M Rozman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 15700 37th Ave N Ste 150, Plymouth, MN 55446
Phone: 651-968-5201    
Erica Barbosa De Souza, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 220 Magnolia Ln N, Plymouth, MN 55441
Phone: 763-744-7256    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.