JASMINE SAMUEL FNP
NPI 1043984339
Nurse Practitioner - Family in Phoenix, AZ

Active since August 02, 2021PECOS EnrolledAccepts Medicare Assignment
4041 N CENTRAL AVE BLDG C, PHOENIX, AZ 85012(602) 279-5262 Get Directions Write a Review

NPPES record last updated: December 29, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 29, 2021, Aug 20, 2021, Aug 2, 2021 (3 updates tracked since 2021).

About Jasmine Samuel Fnp NPPES

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

JASMINE SAMUEL FNP (NPI 1043984339) is an individual family provider in Phoenix, Arizona, licensed in Arizona (254314) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1043984339
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJASMINE SAMUELCredential: FNP
Location Address4041 N CENTRAL AVE BLDG CPhoenix, AZ 85012-3313
Mailing Address4041 N Central Ave Bldg CPhoenix, AZ 85012-3313 · (602) 279-5262
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 2, 2021
Last NPPES UpdateDecember 29, 20213 updates tracked since enumeration
NPPES CertifiedDecember 29, 2021
NPI 1043984339 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 AZ · 254314
4041 N CENTRAL AVE BLDG C, Phoenix, AZ 85012

Accepted Insurance

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

Jasmine Samuel 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 ID3072911783
PECOS Enrollment IDI20211011002913
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85012 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Nurse Practitioner (Psychiatric/Mental Health)
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Social Worker
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Nurse Practitioner (Family)
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Social Worker (Clinical)
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Family Medicine
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Dental Hygienist
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Physician Assistant
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012
Family Medicine
4041 N CENTRAL AVE BLDG C
PHOENIX, AZ 85012

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 Jasmine Samuel's NPI number?

The NPI number for Jasmine Samuel is 1043984339. It was assigned to this individual provider in the NPPES registry on August 2, 2021.

Where is Jasmine Samuel located?

Jasmine Samuel practices at 4041 N Central Ave Bldg C, Phoenix, AZ 85012. The listed phone number is (602) 279-5262.

What is Jasmine Samuel's specialty?

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

Is Jasmine Samuel enrolled in Medicare?

Yes. Jasmine Samuel 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.

What insurance does Jasmine Samuel accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona and UnitedHealthcare list Jasmine Samuel 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 Jasmine Samuel was last updated on December 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.