Samantha Sholeh Willen, PMHNP - Medicare Nurse Practitioner in Phoenix, AZ

Samantha Sholeh Willen, PMHNP is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Phoenix, Arizona. Her current practice location is 2311 W Royal Palm Rd, Phoenix, Arizona. You can reach out to her office (for appointments etc.) via phone at (602) 353-2340.

Samantha Sholeh Willen is licensed to practice in Arizona (license number 225016) 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 1174186670.

Contact Information

Samantha Sholeh Willen, PMHNP
2311 W Royal Palm Rd,
Phoenix, AZ 85021-4916
(602) 353-2340
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Sholeh Willen
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location2311 W Royal Palm Rd, Phoenix, Arizona
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1174186670
  • Provider Enumeration Date: 04/19/2019
  • Last Update Date: 07/30/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860720166
  • Enrollment ID: I20190823003384

Medical Identifiers

Medical identifiers for Samantha Sholeh Willen such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1174186670NPI-NPPES
553996MedicaidAZ

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health 225016 (Arizona)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. Samantha Sholeh Willen allows following entities to bill medicare on her behalf.
Entity NameTurnwell Mental Health of Arizona, PC
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639872518
PECOS PAC ID: 4981063328
Enrollment ID: O20230704000179

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. Samantha Sholeh Willen 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
Samantha Sholeh Willen, PMHNP
7770 N Placita Sin Mentiras,
Tucson, AZ 85718-1286

Ph: (503) 334-6481
Samantha Sholeh Willen, PMHNP
2311 W Royal Palm Rd,
Phoenix, AZ 85021-4916

Ph: (602) 353-2340

Reviews and Comments


Nurse Practitioner Nurses in Phoenix, AZ

Ms. Karla D Wax, N.P.-C.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1331 N 7th St, Suite 275, Phoenix, AZ 85006
Phone: 602-254-3151    Fax: 602-256-9581
Sara Julander, RN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 300 W Clarendon Ave Ste 375, Phoenix, AZ 85013
Phone: 602-277-4161    Fax: 602-266-3481
Gia Kay Thompson, F.N.P
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012
Phone: 602-462-1132    Fax: 602-462-1186
Michele A Riep, CRNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 3003 N Central Ave, Suite 800, Phoenix, AZ 85012
Phone: 602-462-1132    
Dr. Monica Nassim Jeffers, NMD, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1732 E Sheena Dr, Phoenix, AZ 85022
Phone: 602-330-3420    
Mrs. Kristin Carol Kolodziej, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3811 E Bell Rd Ste 206, Phoenix, AZ 85032
Phone: 480-680-6000    Fax: 480-306-5966
Mrs. Melanie Ann Nugent, CPNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 22044 N 44th St Ste 200, Phoenix, AZ 85050
Phone: 602-257-7673    Fax: 602-257-7344

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.