JERICA SAMSON FNP
NPI 1013661693
Nurse Practitioner - Family in Cedar Rapids, IA

Active since February 11, 2022PECOS EnrolledAccepts Medicare Assignment
75.52/100
CMS Quality Rating
1026 A AVE NE, CEDAR RAPIDS, IA 52402(319) 369-7211 Get Directions Write a Review

NPPES record last updated: June 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 3, 2025, Dec 30, 2022, Sep 26, 2022 and 2 more (5 updates tracked since 2022).

About Jerica Samson Fnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JERICA SAMSON FNP (NPI 1013661693) is an individual family provider in Cedar Rapids, Iowa, licensed in Iowa (A166965) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS, is affiliated with St Lukes Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1013661693
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJERICA SAMSONCredential: FNP
Location Address1026 A AVE NECedar Rapids, IA 52402-5036
Mailing Address1026 A Ave NeCedar Rapids, IA 52402-5036
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateFebruary 11, 2022
Last NPPES UpdateJune 3, 20255 updates tracked since enumeration
NPPES CertifiedJune 3, 2025
NPI 1013661693 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IA · A166965
1026 A AVE NE, Cedar Rapids, IA 52402

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jerica Samson Fnp 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.

PECOS PAC ID6800278102
PECOS Enrollment IDI20220803001944
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Lukes Hospital

Acute Care Hospitals · Cedar Rapids, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160045
Location1026 A Ave NECedar Rapids, IA 52402 · Linn County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52402 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality59.32
Promoting Interoperability93
Improvement Activities40

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.

Emergency Medicine
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Pharmacist (Ambulatory Care)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Pharmacist (Emergency Medicine)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Pathology (Anatomic Pathology & Clinical Pathology)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Hospitalist
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Technician, Pathology (Phlebotomy)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Registered Nurse (Medical-Surgical)
1026 A AVE NE
CEDAR RAPIDS, IA 52402
Nurse Practitioner (Psychiatric/Mental Health)
1026 A AVE NE
CEDAR RAPIDS, IA 52402

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 Jerica Samson's NPI number?

The NPI number for Jerica Samson is 1013661693. It was assigned to this individual provider in the NPPES registry on February 11, 2022.

Where is Jerica Samson located?

Jerica Samson practices at 1026 A Ave NE, Cedar Rapids, IA 52402. The listed phone number is (319) 369-7211.

What is Jerica Samson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Jerica Samson enrolled in Medicare?

Yes. Jerica Samson 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.

Is Jerica Samson affiliated with any hospitals?

According to CMS data, Jerica Samson is affiliated with St Lukes Hospital.

When was this NPI record last updated?

The NPPES record for Jerica Samson was last updated on June 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.