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ANSU SAM
NPI 1093320251
Nurse Practitioner - Family in North Bellmore, NY

Active since September 14, 2020PECOS Enrolled
2379 WEBSTER ST, NORTH BELLMORE, NY 11710(516) 728-4129 Get Directions Write a Review

NPPES record last updated: September 14, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ansu Sam NPPES

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

ANSU SAM (NPI 1093320251) is an individual family provider in North Bellmore, New York, licensed in New York (346024) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1093320251
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameANSU SAM
Location Address2379 WEBSTER STNorth Bellmore, NY 11710-2124
Mailing Address2379 Webster StNorth Bellmore, NY 11710-2124 · (516) 728-4129
Phone(516) 728-4129
Sole ProprietorNo
Enumeration DateSeptember 14, 2020
NPPES CertifiedSeptember 11, 2020
✔ NPI 1093320251 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 NY · 346024
2379 WEBSTER ST, North Bellmore, NY 11710
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ansu Sam 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.

Medicare Billing Reassignment

Medicare enrollment records show Ansu Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

St. Catherine Of Siena Medical Center
21 mi
General Acute Care Hospital
50 ROUTE 25A
Smithtown, NY 11787
  • Reassigned Medicare billing, New York enrollment
  • 194 clinicians in this Medicare group
NPI 1154764819 (631) 862-3000

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 11710 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Ansu Sam's NPI number?

The NPI number for Ansu Sam is 1093320251. It was assigned to this individual provider in the NPPES registry on September 14, 2020.

Where is Ansu Sam located?

Ansu Sam practices at 2379 Webster St, North Bellmore, NY 11710. The listed phone number is (516) 728-4129.

What is Ansu Sam's specialty?

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

Is Ansu Sam enrolled in Medicare?

Yes. Ansu Sam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ansu Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ansu Sam reassigns Medicare benefits to St. Catherine Of Siena Medical Center (Smithtown, NY). 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 Ansu Sam'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 Ansu Sam was last updated on September 14, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.