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MRS. MAVIS N TAH SAMA HHA, PMHNP-BC
NPI 1073855490
Nurse Practitioner - Psychiatric/Mental Health in Mechanicsville, VA

Active since March 24, 2013PECOS EnrolledAccepts Medicare Assignment
9202 CENTER OAK CT, MECHANICSVILLE, VA 23116(804) 207-6737 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Mavis N Tah Sama Hha, Pmhnp-bc NPPES

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

MRS. MAVIS N TAH SAMA HHA, PMHNP-BC (NPI 1073855490) is an individual psychiatric/mental health provider in Mechanicsville, Virginia, licensed in Virginia (0024191310) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1073855490
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. MAVIS N TAH SAMACredential: HHA, PMHNP-BC
Location Address9202 CENTER OAK CTMechanicsville, VA 23116-2744
Mailing Address9202 Center Oak CtMechanicsville, VA 23116-2744 · (804) 207-6737
Phone(804) 207-6737
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateMarch 24, 2013
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1073855490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in VA · 0024191310
9202 CENTER OAK CT, Mechanicsville, VA 23116
Open in Google Maps ↗

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

Mrs. Mavis N Tah Sama Hha, Pmhnp-bc 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 ID5395272058
PECOS Enrollment IDI20241219003113
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Mavis Tah Sama reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Commonwealth Counseling Associates Inc
Same address
Clinical
9202 CENTER OAK CT
Mechanicsville, VA 23116
  • Reassigned Medicare billing, Virginia enrollment
  • 239 clinicians in this Medicare group
NPI 1851345805 (804) 207-6737
Insight Physicians PC
8.3 mi
Psychiatry
2810 N PARHAM RD STE 120
Richmond, VA 23294
  • Reassigned Medicare billing, Virginia enrollment
  • 60 clinicians in this Medicare group
NPI 1801817150 (804) 288-1881

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 23116 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

ELEANOR SPEIDEL LCP
Psychologist (Clinical)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 207-6737
MRS. NIKITA N BONNER NP
Nurse Practitioner (Family)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 730-0432
MADISON WALTHER
Counselor (Mental Health)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 730-0432
DEBORAH A WALKER MS, LPC
Counselor (Professional)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 207-6737
EMILY PAROBEK PSY.D.
Psychologist (Clinical)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 730-0432
ROSEBELLE DE LEON M.D.
Psychiatry & Neurology (Psychiatry)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 730-0432
MARIE BERTHE MADZE FOTSO PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 207-6737
KAITLYN E NICHOLSON LCSW
Social Worker (Clinical)
9202 CENTER OAK CT
MECHANICSVILLE, VA 23116
Hanover County (804) 207-6737

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 Mavis Tah Sama's NPI number?

The NPI number for Mavis Tah Sama is 1073855490. It was assigned to this individual provider in the NPPES registry on March 24, 2013.

Where is Mavis Tah Sama located?

Mavis Tah Sama practices at 9202 Center Oak Ct, Mechanicsville, VA 23116. The listed phone number is (804) 207-6737.

What is Mavis Tah Sama's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Mavis Tah Sama enrolled in Medicare?

Yes. Mavis Tah Sama 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 Mavis Tah Sama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mavis Tah Sama reassigns Medicare benefits to 2 organizations: Commonwealth Counseling Associates Inc (Mechanicsville, VA) and Insight Physicians PC (Richmond, VA). 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 Mavis Tah Sama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mavis Tah Sama was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.