IMELDA CHI SAM NP-C
NPI 1053819755
Nurse Practitioner - Primary Care in Las Vegas, NV

Q: What is Imelda Sam's NPI number?

The NPI number for Imelda Sam is 1053819755. It was assigned to this individual provider in the NPPES registry on January 28, 2018.

Q: What is Imelda Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Q: When was this NPI record last updated?

The NPPES record for Imelda Sam was last updated on July 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since January 28, 2018PECOS Enrolled

3968 N RANCHO DR, LAS VEGAS, NV 89130(702) 791-9020(702) 791-9261 Get Directions Write a Review

NPPES record last updated: July 5, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Imelda Chi Sam Np-c NPPES

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

IMELDA CHI SAM NP-C (NPI 1053819755) is an individual primary care provider in Las Vegas, Nevada, licensed in Nevada (APRN002763) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053819755

Entity TypeIndividualFemale

Primary Taxonomy363LP2300X

Provider Legal NameIMELDA CHI SAMCredential: NP-C

Location Address3968 N RANCHO DRLas Vegas, NV 89130-3412

Mailing Address6900 N Pecos RdNorth Las Vegas, NV 89086-4400 · (702) 791-9000

Phone(702) 791-9020

Fax(702) 791-9261

Sole ProprietorNo

Enumeration DateJanuary 28, 2018

Last NPPES UpdateJuly 5, 2023

NPPES CertifiedJuly 5, 2023

✔ NPI 1053819755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP2300X

License✔ Licensed in NV · APRN002763

Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License APRN00002763 (NV)

3968 N RANCHO DR, Las Vegas, NV 89130

Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Imelda Chi Sam Np-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 89130 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISTEN LANGLOIS D.O.

Psychiatry & Neurology (Psychiatry)