Samantha Elledge, MSN, AGPCNP - Medicare Nurse Practitioner in Troy, MO

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Samantha Elledge, MSN, AGPCNP is a medicare enrolled "Nurse Practitioner - Primary Care" in Troy, Missouri. Her current practice location is 1000 E Cherry St, Troy, Missouri. You can reach out to her office (for appointments etc.) via phone at (636) 528-8551.

Samantha Elledge is licensed to practice in Missouri (license number 2021030042) 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 1285378349.

Contact Information

Samantha Elledge, MSN, AGPCNP
1000 E Cherry St,
Troy, MO 63379-1513
(636) 528-8551
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Elledge
GenderFemale
SpecialityNurse Practitioner - Primary Care
Location1000 E Cherry St, Troy, Missouri
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1285378349
  • Provider Enumeration Date: 04/25/2022
  • Last Update Date: 04/25/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 3678953304
  • Enrollment ID: I20220712000779

Medical Identifiers

Medical identifiers for Samantha Elledge such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1285378349NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LP2300XNurse Practitioner - Primary Care 2021030042 (Missouri)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 Elledge allows following entities to bill medicare on her behalf.
Entity NameMercy Hospitals East Communities
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427098169
PECOS PAC ID: 1658276811
Enrollment ID: O20031209000789
Entity NameMercy Hospital Lincoln
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1962808733
PECOS PAC ID: 5193040020
Enrollment ID: O20150623002541

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 Elledge 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 Elledge, MSN, AGPCNP
1000 E Cherry St,
Troy, MO 63379-1513

Ph: (636) 528-8551		Samantha Elledge, MSN, AGPCNP
1000 E Cherry St,
Troy, MO 63379-1513

Ph: (636) 528-8551

Reviews and Comments


Nurse Practitioner Nurses in Troy, MO

Jennifer Bryant,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1165 E Cherry St, Troy, MO 63379
Phone: 636-528-1919    
Mrs. Heather S Dixon, FNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3495    
Mrs. Teresa A Condor, FNP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1177 E Cherry St, Troy, MO 63379
Phone: 636-528-1919    Fax: 636-528-1916
Julie Irwin, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3221    Fax: 636-528-8392
Malynda Christine Lane, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-3486    Fax: 636-528-3419
Arielle Faith Lewis, MSN, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1000 E Cherry St, Troy, MO 63379
Phone: 636-528-8551    

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.