Samantha Ann Park
NPI 1134989866ActiveIndividual· Peer Specialist· Bismarck, ND
Peer Specialist in Bismarck, North Dakota, licensed in ND, with an NPI issued in March 2024.
Overview
| NPI | 1134989866 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 20, 2024 |
| Last updated in NPPES | Mar 20, 2024 |
| Certified by provider | Mar 20, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Peer Specialist Primary | 175T00000X | — | ND |
| Case Manager/Care Coordinator | 171M00000X | DUM00000 | ND |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 38 Peer Specialist providers in Bismarck · All Peer Specialist providers in North Dakota