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

Samantha Rebeor

Individual provider Nurse Practitioner · NPI 1891550455

Samantha Rebeor is a Nurse Practitioner in Syracuse, New York. Qualified in 2024, 2 years ago. Practices with St Josephs Hospital Health Center, a 108-clinician group, accepts Medicare assignment and offers telehealth. Licensed in New York.

Years since qualifying
2
Licensed in
NY
In the registry since
2024
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Practice location Address checks out

301 Prospect Ave
Syracuse, NY 13203-1807
Phone: (315) 427-6469
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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 406118 (NY)

Record details

NPI number1891550455
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 13, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024
Mailing address301 Prospect Ave, Syracuse, NY 13203-1807

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice St Josephs Hospital Health Center — 108 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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