Lisa Andrea Samuelson , OTR
Occupational Therapist - Pediatrics β’ Fargo, ND
4342 15th Ave S Ste 105
Fargo, ND 581031125
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
Practice Location & Contact Primary Location
4342 15th Ave S Ste 105
Fargo, ND 581031125
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Occupational Therapist - Pediatrics: NPPES taxonomy is a reported classification, not proof of board certification.
NPI first issued
2018
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, βDoes your provider accept Medicare as full payment?β
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Enrolled in Medicare (PECOS)
Lisa Samuelson has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.
It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Fargo and North Dakota
20 active clinicians are listed under Occupational Therapist - Pediatrics with a practice address in Fargo, ND (44 in North Dakota).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Fargo
0% of these 20 clinicians have the CMS telehealth indicator.
10% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo Β· Report an error.
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-07-17NUCC Taxonomy Code: 225XP0200X
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
I20221109002435
ND
8426425109
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 4342 15TH AVE S STE 105, FARGO, ND 581031125 (Tel: 7019369495)
Registered at 4342 15TH AVE S STE 105, FARGO, ND 581031125 (Tel: 7019369495)
NPI status registered as active in NPPES database
Registered at 1000 ELBEL RD APT 306, SCHERTZ, TX 781542043 (Tel: 2108961388)
Registered at 1000 ELBEL RD APT 306, SCHERTZ, TX 781542043 (Tel: 2108961388)
Recorded as LISA SAMUELSON, OTR
Occupational Therapist (license number reported to NPPES: TX 114432)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Mailing Address
4342 15th Ave S Ste 105
Fargo, ND 581031125
Phone: 7019369495