Samantha Petty, PMHNP

ActiveIndividual ProviderNurse Practitioner
NPI issued: October 10, 2022

Quick Facts

NPI Number
1174248405
TypeIndividual
StatusActive
SpecialtyNurse Practitioner
Taxonomy363LP0808X — Nurse Practitioner
Phone
(815) 718-2344
StateIL

NPI Validation Status: Verified

Valid 10-digit NPI number (1174248405)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (October 10, 2022)
Data source: CMS NPPES

Provider Overview

SAMANTHA PETTY, PMHNP is a Nurse Practitioner provider based in Sterling, IL who has been registered with CMS since 2022. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1174248405
Provider TypeIndividual Provider
GenderFemale
CredentialPMHNP
StatusActive
Enumeration DateOctober 10, 2022

Practice Location

CitySterling
StateIL
ZIP Code61081-1676
Phone(815) 718-2344

Specialties & Licenses

★ Primary
SpecialtyNurse Practitioner
Taxonomy Code363LP0808X
License StateIL

Mailing Address

CitySterling
StateIL
ZIP Code61081-1676
Phone(815) 718-2344
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1174248405 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1174248405for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1174248405 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Nurse Practitioner

Family Nurse Practitioners (FNPs) provide comprehensive primary healthcare services across the lifespan, including diagnostic assessments, prescribing medications, and disease prevention education.

📊
53,937
Nurse Practitioner Providers in the US

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People Also Ask

What is Samantha Petty's NPI number?
Samantha Petty's NPI number is 1174248405, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Samantha Petty's NPI currently active?
Yes, Samantha Petty's NPI status is Active as of the latest CMS NPPES database updates.
What does Samantha Petty specialize in?
Samantha Petty specializes in Nurse Practitioner. The healthcare taxonomy code associated with this specialty is 363LP0808X.
Where does Samantha Petty practice?
Samantha Petty practices in Sterling, IL 61081-1676.
When was Samantha Petty's NPI issued?
Samantha Petty's NPI was issued on October 10, 2022.
What is Samantha Petty's provider type?
Samantha Petty is registered as an Individual Provider under CMS NPI Type 1.