Mrs Samantha Halterman, FNP-C - Medicare Nurse Practitioner in Charlottesville, VA

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Mrs Samantha Halterman, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charlottesville, Virginia. Her current practice location is 1335 Carlton Ave, Charlottesville, Virginia. You can reach out to her office (for appointments etc.) via phone at (434) 202-6922.

Mrs Samantha Halterman is licensed to practice in Virginia (license number 0024188631) 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 1669245874.

Contact Information

Mrs Samantha Halterman, FNP-C
1335 Carlton Ave,
Charlottesville, VA 22902-5813
(434) 202-6922
Not Available

Map and Direction




Provider's Profile

Full NameMrs Samantha Halterman
GenderFemale
SpecialityNurse Practitioner - Family
Location1335 Carlton Ave, Charlottesville, Virginia
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1669245874
  • Provider Enumeration Date: 10/31/2023
  • Last Update Date: 07/09/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6709329709
  • Enrollment ID: I20240619000034

Medical Identifiers

Medical identifiers for Mrs Samantha Halterman such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669245874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 0024188631 (Virginia)Secondary
363LF0000XNurse Practitioner - Family 0024188631 (Virginia)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. Mrs Samantha Halterman allows following entities to bill medicare on her behalf.
Entity NamePremier Geriatric Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568093672
PECOS PAC ID: 3072940279
Enrollment ID: O20200228001800
Entity NameScott Wagner Integrated Medicine Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447875042
PECOS PAC ID: 1153749825
Enrollment ID: O20200911001172
Entity NamePai Participant 1 Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1093371312
PECOS PAC ID: 8123351954
Enrollment ID: O20211208001934
Entity NameAdvanced Pain Management Of Virginia Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700637592
PECOS PAC ID: 1850836859
Enrollment ID: O20240715001980
Entity NameEventus Premier Healthcare Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437998309
PECOS PAC ID: 6305381013
Enrollment ID: O20240717001731
Entity NameEventus Wh Mid-atlantic, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700627130
PECOS PAC ID: 7618414111
Enrollment ID: O20240801002915

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. Mrs Samantha Halterman 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
Mrs Samantha Halterman, FNP-C
1335 Carlton Ave,
Charlottesville, VA 22902-5813

Ph: (434) 529-1336		Mrs Samantha Halterman, FNP-C
1335 Carlton Ave,
Charlottesville, VA 22902-5813

Ph: (434) 202-6922

Reviews and Comments


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Kimberly Conrad,
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Practice Location: 1240 Lee St, Charlottesville, VA 22908
Phone: 434-924-9333    Fax: 434-244-7526

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.