SAMANTHA NICHOLE MOGEN LICSW
NPI 1942990379
Social Worker in Andover, MN

NPI Status: Active since May 09, 2023

Contact Information

15245 BLUEBIRD ST NW
ANDOVER, MN
ZIP 55304
Phone: (763) 587-4200

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  • Individual
  • Female
  • Years of Experience 9
  • Social Worker
  • Accepts Insurance
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SAMANTHA MOGEN

This page provides the complete NPI Profile along with additional information for Samantha Mogen, a provider established in Andover, Minnesota with a medical specialization in Social Worker and more than 9 years of experience. The healthcare provider is registered in the NPI registry with number 1942990379 assigned on May 2023. The practitioner's primary taxonomy code is 104100000X with license number 22141 (MN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1942990379
Provider Name
SAMANTHA NICHOLE MOGEN LICSW
Gender
Female
Entity Type
Individual
Location Address
15245 BLUEBIRD ST NW ANDOVER, MN 55304
Location Phone
(763) 587-4200
Mailing Address
3178 253RD AVE NW ISANTI, MN 55040
Mailing Phone
(952) 594-5976
Medical School Name
OTHER
Graduation Year
2017
Is Sole Proprietor?
No
Enumeration Date
05-09-2023
Last Update Date
04-11-2024
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A social worker like Samantha Mogen helps patients solve and cope with problems in their everyday lives, diagnoses and treats mental, behavioral, and emotional problems. Social workers help in wide range of situations, such as adopting a child, illness, divorce, or unemployment.

Location Map

Secondary Locations

  • 2621 Greenhaven Rd
    Anoka, MN 55303
    (763) 587-4488
  • 530 3rd St NW
    Elk River, MN 55330
    (763) 587-4800

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker

Taxonomy Code
104100000X
Type
Behavioral Health & Social Service Providers
License No.
22141
License State
MN
Taxonomy Description
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Atlas $1,000 Gold - PPO
  • Atlas $1,500 Standard Gold - PPO
  • Atlas $2,650 Plus Silver - PPO
  • Atlas $3,500 HSA Silver - PPO
  • Atlas $5,000 Standard Silver - PPO
  • Atlas $6,500 Plus Bronze - PPO
  • Atlas $7,500 Standard Bronze - PPO
  • Atlas $8,200 HSA Bronze - PPO
  • Atlas $9,200 Catastrophic - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Samantha Mogen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Samantha Mogen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 5496109993

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231003001456

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): No

  • Eligible to Order or Refer Power Mobility Devices: No

Reviews for SAMANTHA NICHOLE MOGEN LICSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1942990379
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
29821890314
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 8 + 2 + 1 + 8 + 9 + 0 + 3 + 1 + 4 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1942990379 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396720553 SCOTT M BENSON II RPH
Individual
Pharmacist15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 434-1901
1700072451DR. NANCY MOE TRACY PHARM.D.
Individual
Pharmacist15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 434-1901
1659522332 ANNETTE MARIE SCHMIDT PHARMD
Individual
Pharmacist15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 434-1901
1043284268 ROMAN P SMULKA MD
Individual
Family Medicine15245 BLUEBIRD ST NW MAIL STOP 39200A RIVERWAY CLINIC - ANDOVER
ANDOVER, MN 55304
(763) 587-4600
1184698052 HELEN C KNUTSON PNP
Individual
Nurse Practitioner15245 BLUEBIRD ST NW MAIL STOP 39200A
ANDOVER, MN 55304
(763) 712-6000
1912971706 PAUL J LYSNE MD
Individual
Family Medicine15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4600
1316911530 JOHN W GFRERER MD
Individual
Family Medicine15245 BLUEBIRD ST NW MAIL STOP 39200A
ANDOVER, MN 55304
(763) 712-6000
1558336198 REBECCA BRANDT PA C
Individual
Physician Assistant15245 BLUEBIRD ST NW MAIL STOP 39300A
ANDOVER, MN 55304
(763) 587-4600
1073590881 BARBARA SCHIEFEN
Individual
Nurse Practitioner15245 BLUEBIRD ST NW HEALTHPARTNERS RIVERWAY ANDOVER URGENT CARE
ANDOVER, MN 55304
(952) 853-8800
1831366079DR. CLAIRE A MICHAEL SAAD M.D.
Individual
Family Medicine15245 BLUEBIRD ST NW RIVERWAY CLINIC-ANDOVER
ANDOVER, MN 55304
(763) 587-4600
1003368929 DIVINA FAMA BIKERI CNP
Individual
Nurse Practitioner (Family)15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4688
1376775437DR. LISA ANN BISHOP MBCHB
Individual
Pediatrics (Adolescent Medicine)15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4600
1972702090MISS MOLLI ROSE JANNETTE PHARM.D.
Individual
Pharmacist15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 434-1901
1730240649GROUP HEALTH PLAN INC
Organization
Durable Medical Equipment & Medical Supplies15245 BLUEBIRD ST NW SUITE A
ANDOVER, MN 55304
(763) 587-4600
1750412235 LAURA MAGNUSON FNP
Individual
Nurse Practitioner15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4688
1427367093MR. ZACHARIA G OGWANG FNP
Individual
Nurse Practitioner15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4600
1528033149 SHERRY M MARINELLO PA
Individual
Physician Assistant15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4600
1205333275 DAVID BRYAN POLLEY NP
Individual
Nurse Practitioner15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4688
1598382061 SHELLY RENEE ANDERSON APRN
Individual
Nurse Practitioner15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4688
1164964334 CHANDRAWATIE KHEMRAJ APRN
Individual
Nurse Practitioner15245 BLUEBIRD ST NW
ANDOVER, MN 55304
(763) 587-4688

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1942990379, enumerated in the NPI registry as an "individual" on May 09, 2023

The provider is located at 15245 Bluebird St Nw Andover, Mn 55304 and the phone number is (763) 587-4200

The provider's speciality is Social Worker with taxonomy code 104100000X

The provider has more than 9 years of experience.

The provider might be accepting Accepts: HealthPartners. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging and Durable Medical Equipment (DME).

This NPI record was last updated on May 09, 2023. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.