Samantha Zeisloft, PMHNP-BC - Medicare Nurse Practitioner in Mercer Island, WA

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Samantha Zeisloft, PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Mercer Island, Washington. Her current practice location is 9725 Se 36th St, Mercer Island, Washington. You can reach out to her office (for appointments etc.) via phone at (678) 674-4004.

Samantha Zeisloft is licensed to practice in Washington (license number AP61489940) 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 1417626490.

Contact Information

Samantha Zeisloft, PMHNP-BC
9725 Se 36th St,
Mercer Island, WA 98040-3841
(678) 674-4004
(773) 824-2303

Map and Direction




Provider's Profile

Full NameSamantha Zeisloft
GenderFemale
SpecialityNurse Practitioner - Psychiatric/mental Health
Location9725 Se 36th St, Mercer Island, Washington
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1417626490
  • Provider Enumeration Date: 09/13/2021
  • Last Update Date: 04/22/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 7214317486
  • Enrollment ID: I20230221002813

Medical Identifiers

Medical identifiers for Samantha Zeisloft such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1417626490NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP0808XNurse Practitioner - Psychiatric/mental Health C-APN.0101357-C-NP (Colorado)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN285551 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP61489940 (Washington)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 Zeisloft allows following entities to bill medicare on her behalf.
Entity NamePersonal Recovery Network Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1881990869
PECOS PAC ID: 5092611384
Enrollment ID: O20120110000096

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 Zeisloft 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 Zeisloft, PMHNP-BC
120 Heatherwood Dr,
Fayetteville, GA 30215-2125

Ph: (770) 654-6835		Samantha Zeisloft, PMHNP-BC
9725 Se 36th St,
Mercer Island, WA 98040-3841

Ph: (678) 674-4004

Reviews and Comments


Nurse Practitioner Nurses in Mercer Island, WA

Rebekah Vigileos, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 9007 W Shorewood Dr Apt 539, Mercer Island, WA 98040
Phone: 480-434-9153    
Danial Khan,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9725 Se 36th St Ste 410, Mercer Island, WA 98040
Phone: 206-275-3588    
Chloe Kim,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 9311 Se 36th St Ste 120, Mercer Island, WA 98040
Phone: 206-350-4166    Fax: 206-791-3968
Laura A Curtis, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 9725 Se 36th St Ste 214, Mercer Island, WA 98040
Phone: 206-275-3588    
Krista Lynn Meeks, ARNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2737 78th Ave Se, Mercer Island, WA 98040
Phone: 206-402-2450    
Amy Cathleen Smolinski, ARNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 7707 Se 27th St, Suite 104, Mercer Island, WA 98040
Phone: 206-275-3588    Fax: 206-275-2073

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.