JONMICHAEL SAMSEL DO
NPI 1003492653
Dermatology in Kingsport, TN
About Jonmichael Samsel Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JONMICHAEL SAMSEL DO (NPI 1003492653) is an individual dermatology provider in Kingsport, Tennessee, licensed in Tennessee (6253) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Johnson City, and is a graduate of Edward Via Col Of Osteo Medicine-virginia Campus (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Jonmichael Samsel Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Jonmichael Samsel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingsport, TN 37660
- Reassigned Medicare billing, Tennessee enrollment
- 26 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, Virginia enrollment
- 501 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 37660 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jonmichael Samsel's NPI number?
The NPI number for Jonmichael Samsel is 1003492653. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Jonmichael Samsel located?
Jonmichael Samsel practices at 2300 W Stone Dr, Kingsport, TN 37660. The listed phone number is (423) 246-4961.
What is Jonmichael Samsel's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Jonmichael Samsel enrolled in Medicare?
Yes. Jonmichael Samsel is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Jonmichael Samsel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jonmichael Samsel reassigns Medicare benefits to 2 organizations: Dermatology Associates, P.C. (Kingsport, TN) and Signify Health, LLC (Dallas, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jonmichael Samsel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jonmichael Samsel accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Jonmichael Samsel as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jonmichael Samsel was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Jonmichael Samsel, DO · NPI 1003492653
Dermatology physician in Kingsport, Tennessee. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1003492653 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **State license:** 6253 (Tennessee)
- **Sole proprietor:** No
## Practice location
- **Address:** 2300 W STONE DR, Kingsport, TN 37660-2360
- **Phone:** (423) 246-4961 · **Fax:** (423) 245-3136
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Dermatology Associates, P.C. (NPI 1487695862, Kingsport, TN); Signify Health, LLC (NPI 1689158487, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Edward Via Col Of Osteo Medicine-Virginia Campus, class of 2021
## Record status
- **NPPES last updated:** August 1, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1003492653) · Data from the CMS NPPES public registry.