Samantha Rose Khundmiri, RN, APNP in Greendale, WI

Samantha Rose Khundmiri, RN, APNP is a medicare enrolled "Nurse Practitioner - Family" in Greendale, Wisconsin. She graduated from nursing school in 2016 and has 8 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc and her current practice location is 6220 W Loomis Rd, Greendale, Wisconsin. You can reach out to her office (for appointments etc.) via phone at (414) 423-0555.

Samantha Rose Khundmiri is licensed to practice in Wisconsin (license number 11302-33) 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 1104402361.

Contact Information

	Samantha Rose Khundmiri, RN, APNP
	6220 W Loomis Rd, Greendale, WI 53129-2448
	(414) 423-0555
	Not Available

Map and Direction

Provider's Profile

Full Name	Samantha Rose Khundmiri
Gender	Female
Speciality	Nurse Practitioner
Experience	8 Years
Location	6220 W Loomis Rd, Greendale, Wisconsin
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:

Samantha Rose Khundmiri graduated from nursing school in 2016

NPI Data:

NPI Number: 1104402361
Provider Enumeration Date: 03/19/2021
Last Update Date: 09/27/2021

Medicare PECOS Information:

PECOS PAC ID: 3476951245
Enrollment ID: I20211008000084

Medical Identifiers

Medical identifiers for Samantha Rose Khundmiri such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1104402361	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11302-33 (Wisconsin)	Primary
163W00000X	Registered Nurse	230241-30 (Wisconsin)	Secondary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Aurora At Home	Milwaukee, WI	Home health agency
Froedtert Memorial Lutheran Hospital	Milwaukee, WI	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Froedtert Andthe Medical College Of Wisconsin Community Physicians Inc	3678760063	1040

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 Rose Khundmiri allows following entities to bill medicare on her behalf.

Entity Name	Froedtert &the Medical College Of Wisconsin Community Physicians Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699

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 Rose Khundmiri 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
Samantha Rose Khundmiri, RN, APNP 6220 W Loomis Rd, Greendale, WI 53129-2448 Ph: (414) 423-0555	Samantha Rose Khundmiri, RN, APNP 6220 W Loomis Rd, Greendale, WI 53129-2448 Ph: (414) 423-0555

Reviews and Comments

Nurse Practitioner Nurses in Greendale, WI

Juli A Hafeman, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 630-571-8990
Mrs. Mariska Cornelia Goebel, DNP, APNP, FNP-C Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 6220 W Loomis Rd, Greendale, WI 53129 Phone: 414-423-0555
Amy A Medrano, APNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 630-571-8990
Chinwe D Opara, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 414-329-4979
Agnieszka Durski, APN-FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 5404 W Loomis Rd, Greendale, WI 53129 Phone: 414-329-4979
Mrs. Felicia Walker Lospaluto, AGPCNP-BC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4839 W College Ave, Apartment 125, Greendale, WI 53129 Phone: 401-536-0954

Samantha Rose Khundmiri, RN, APNP - Medicare Nurse Practitioner in Greendale, WI