Mrs Samantha Sudano, MSN, RN, PMHNP-BC in Supply, NC

Mrs Samantha Sudano, MSN, RN, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Supply, North Carolina. She graduated from nursing school in 2023 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Revive And Thrive Mental Wellness and her current practice location is 610 Ocean Hwy W, Supply, North Carolina. You can reach out to her office (for appointments etc.) via phone at (910) 253-5885.

Mrs Samantha Sudano is licensed to practice in Maryland (license number R224043) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1598534976.

Contact Information

	Mrs Samantha Sudano, MSN, RN, PMHNP-BC
	610 Ocean Hwy W, Supply, NC 28462-4048
	(910) 253-5885
	(910) 253-5887

Map and Direction

Provider's Profile

Full Name	Mrs Samantha Sudano
Gender	Female
Speciality	Nurse Practitioner
Experience	3 Years
Location	610 Ocean Hwy W, Supply, North Carolina
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Samantha Sudano graduated from nursing school in 2023

NPI Data:

NPI Number: 1598534976
Provider Enumeration Date: 12/27/2023
Last Update Date: 11/26/2025

Medicare PECOS Information:

PECOS PAC ID: 6305283789
Enrollment ID: I20240320003888

Medical Identifiers

Medical identifiers for Mrs Samantha Sudano such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1598534976	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	R224043 (Maryland)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Revive And Thrive Mental Wellness	0941630057	3

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 Sudano allows following entities to bill medicare on her behalf.

Entity Name	Revive And Thrive Mental Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1144852187 PECOS PAC ID: 0941630057 Enrollment ID: O20200413002973

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 Sudano 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 Address	Practice Location Address
Mrs Samantha Sudano, MSN, RN, PMHNP-BC 5309 Palomino St, White Marsh, MD 21162-1002 Ph: (410) 446-2725	Mrs Samantha Sudano, MSN, RN, PMHNP-BC 610 Ocean Hwy W, Supply, NC 28462-4048 Ph: (910) 253-5885

Reviews and Comments

Nurse Practitioner Nurses in Supply, NC

Ms. Joan Shelton Phillips, FNPBC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 13 Medical Campus Dr Nw Ste 102, Supply, NC 28462 Phone: 910-754-5988 Fax: 910-754-5989
Mrs. Alicia Hope Tyndall, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462 Phone: 910-754-7075 Fax: 910-754-2158
Ms. Mary Beth Barna, PNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 14 Doctors Cir, Suite 3, Supply, NC 28462 Phone: 910-754-7075 Fax: 910-754-2158
Mrs. Amber Mae Marchio, AGNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 18 Doctors Cir, Supply, NC 28462 Phone: 910-754-6141
Mrs. Savannah Parker Ward, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2298 Ocean Hwy W, Supply, NC 28462 Phone: 910-755-3682
Mrs. Dawn Sautters Harrison, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 13 Medical Campus Dr Nw Ste 102, Supply, NC 28462 Phone: 910-754-5988 Fax: 910-754-5989
Ms. Kathy Jo Asbury, ARNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 610 Ocean Hwy W, Supply, NC 28462 Phone: 910-253-5885 Fax: 910-253-5887

Mrs Samantha Sudano, MSN, RN, PMHNP-BC - Medicare Nurse Practitioner in Supply, NC