Ms Samantha Nicole Axtman, FNP is a medicare enrolled "Nurse Practitioner" physician in Bismarck, North Dakota. She graduated from medical school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Bismarck and her current practice location is
222 N 7th St, Bismarck, North Dakota. You can reach out to her office (for appointments etc.) via phone at
(701) 323-6000.
Ms Samantha Nicole Axtman is licensed to practice in North Dakota (license number R38981) 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 1093484263.
Physician's Profile
| Full Name | Ms Samantha Nicole Axtman |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 3 Years |
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| Location | 222 N 7th St, Bismarck, North Dakota |
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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:
- Ms Samantha Nicole Axtman graduated from medical school in 2021
NPI Data:
- NPI Number: 1093484263
- Provider Enumeration Date: 09/10/2021
- Last Update Date: 01/09/2023
Medicare PECOS Information:
- PECOS PAC ID: 1557750189
- Enrollment ID: I20211119000460
Medical Identifiers
Medical identifiers for Ms Samantha Nicole Axtman such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1093484263 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 207Q00000X | Family Medicine | R38981 (North Dakota) | Secondary |
| 363L00000X | Nurse Practitioner | R38981 (North Dakota) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Sanford Bismarck | 9739098575 | 457 |
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. Ms Samantha Nicole Axtman allows following entities to bill medicare on her behalf.
| Entity Name | St Alexius Medical Center |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1205868429
PECOS PAC ID: 8426960865
Enrollment ID: O20031104000146 |
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| Entity Name | Sanford Bismarck |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1811941172
PECOS PAC ID: 9739098575
Enrollment ID: O20031105000403 |
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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. Ms Samantha Nicole Axtman 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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Ms Samantha Nicole Axtman, FNP
Po Box 5074,
Sioux Falls, SD 57117-5074
Ph: () - | Ms Samantha Nicole Axtman, FNP
222 N 7th St,
Bismarck, ND 58501-4436
Ph: (701) 323-6000 |
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