Samantha Rae Atkinson, - Medicare Nurse Practitioner in Minneapolis, MN

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Samantha Rae Atkinson, is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Minneapolis, Minnesota. She graduated from nursing school in 2021 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Fairview Health Services, Serenity Behavioral Health And Wellness, Llc, Advanced Brain And Body Clinic Pllc and her current practice location is 701 Park Ave, Minneapolis, Minnesota. You can reach out to her office (for appointments etc.) via phone at (612) 626-3000.

Samantha Rae Atkinson is licensed to practice in Minnesota (license number 8950) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1679230577.

Contact Information

Samantha Rae Atkinson,
701 Park Ave,
Minneapolis, MN 55415-1623
(612) 626-3000
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Rae Atkinson
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location701 Park Ave, Minneapolis, Minnesota
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha Rae Atkinson graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1679230577
  • Provider Enumeration Date: 11/26/2021
  • Last Update Date: 04/30/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 5799159257
  • Enrollment ID: I20230323001863

Medical Identifiers

Medical identifiers for Samantha Rae Atkinson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679230577NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0808XRegistered Nurse - Psychiatric/mental Health 457743 (Ohio)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 8950 (Minnesota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
University Of Minnesota Medical Center, FairviewMinneapolis, MNHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Fairview Health Services1951213057551
Serenity Behavioral Health And Wellness, Llc781030851711
Advanced Brain And Body Clinic Pllc79112347117

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 Rae Atkinson allows following entities to bill medicare on her behalf.
Entity NameFairview Health Services
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1013994359
PECOS PAC ID: 1951213057
Enrollment ID: O20031105000461
Entity NameFairview Express Care
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1053952606
PECOS PAC ID: 3375645179
Enrollment ID: O20081028000548
Entity NameAdvanced Brain And Body Clinic Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1447816632
PECOS PAC ID: 7911234711
Enrollment ID: O20190815002427
Entity NameSerenity Behavioral Health & Wellness, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1750999546
PECOS PAC ID: 7810308517
Enrollment ID: O20201202000942

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 Rae Atkinson 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 Rae Atkinson,
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 273-3000		Samantha Rae Atkinson,
701 Park Ave,
Minneapolis, MN 55415-1623

Ph: (612) 626-3000

Reviews and Comments


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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.