Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jill M Samayoa, CNP

Individual provider Registered Nurse · NPI 1538144944

Jill M Samayoa, CNP is a Nurse Practitioner in St Louis Park, Minnesota. Qualified in 2003, 23 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
23
Licensed in
MN
In the registry since
2005
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

3850 Park Nicollet Blvd Park Nicollet Clinic Slp
St Louis Park, MN 55416-2527
Phone: (952) 993-5041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 0851 (MN)
Registered Nurse Taxonomy 163W00000X · Licence R148078-4 (MN)

Record details

NPI number1538144944
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedDecember 8, 2005
Last updated in NPPESMarch 18, 2021
Certification dateMarch 18, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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