Samantha Roche, FNP is a medicare enrolled "Nurse Practitioner - Family" in Garland, Utah. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Idaho Skin Institute Llc and her current practice location is
300 W 1400 S, Garland, Utah. You can reach out to her office (for appointments etc.) via phone at
(435) 257-3684.
Samantha Roche is licensed to practice in Utah (license number TBD) 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 1760366603.
Provider's Profile
| Full Name | Samantha Roche |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | 300 W 1400 S, Garland, Utah |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Roche graduated from nursing school in 2025
NPI Data:
- NPI Number: 1760366603
- Provider Enumeration Date: 08/04/2025
- Last Update Date: 08/04/2025
Medicare PECOS Information:
- PECOS PAC ID: 7214406891
- Enrollment ID: I20260512004630
Medical Identifiers
Medical identifiers for Samantha Roche such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1760366603 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | TBD (Utah) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Idaho Skin Institute Llc | 0648658807 | 9 |
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 Roche allows following entities to bill medicare on her behalf.
| Entity Name | Idaho Skin Institute LLC |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1184375867
PECOS PAC ID: 0648658807
Enrollment ID: O20220601000825 |
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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 Roche 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 |
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Samantha Roche, FNP
10990 W 9600 N,
Tremonton, UT 84337-9213
Ph: (208) 240-4590 | Samantha Roche, FNP
300 W 1400 S,
Garland, UT 84312-9100
Ph: (435) 257-3684 |
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