SAMUEL TYLER MEDICK DNP, ARNP
NPI 1083338537
Nurse Practitioner - Family in Anacortes, WA
About Samuel Tyler Medick Dnp, Arnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL TYLER MEDICK DNP, ARNP (NPI 1083338537) is an individual family provider in Anacortes, Washington, licensed in Washington (AP61353336) and active in the NPI registry since September 2022. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Tyler Medick Dnp, Arnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Medick reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tulalip, WA 98271
- Reassigned Medicare billing, Washington enrollment
- 7 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 98221 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.
ANACORTES, WA 98221
ANACORTES, WA 98221
ANACORTES, WA 98221
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 Samuel Medick's NPI number?
The NPI number for Samuel Medick is 1083338537. It was assigned to this individual provider in the NPPES registry on September 28, 2022.
Where is Samuel Medick located?
Samuel Medick practices at 8212 S March Point Rd, Anacortes, WA 98221. The listed phone number is (360) 588-2800.
What is Samuel Medick's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samuel Medick enrolled in Medicare?
Yes. Samuel Medick is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samuel Medick's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Medick reassigns Medicare benefits to Tulalip Tribes Of Washington Quil Ceda Creek Counseling (Tulalip, WA). The 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 Samuel Medick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Medick accept?
Health plans from Providence Health Plan list Samuel Medick 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 Samuel Medick was last updated on September 28, 2022. 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.
# Samuel Tyler Medick, DNP, ARNP · NPI 1083338537
Family physician in Anacortes, Washington. Individual provider, active in the CMS NPPES registry since September 28, 2022.
## Identity
- **NPI:** 1083338537 (Entity type: Individual)
- **Enumerated:** September 28, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61353336 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 8212 S MARCH POINT RD, Anacortes, WA 98221-8684
- **Phone:** (360) 588-2800
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Tulalip Tribes Of Washington Quil Ceda Creek Counseling (NPI 1578272712, Tulalip, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 28, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083338537) · Data from the CMS NPPES public registry.