MRS. NISRIN ABDELSAMIE FNP
NPI 1104360627
Nurse Practitioner - Family in Montclair, CA
About Mrs. Nisrin Abdelsamie Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. NISRIN ABDELSAMIE FNP (NPI 1104360627) is an individual family provider in Montclair, California, licensed in California (95005663) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
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
Mrs. Nisrin Abdelsamie 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 91763 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
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Nisrin Abdelsamie's NPI number?
The NPI number for Nisrin Abdelsamie is 1104360627. It was assigned to this individual provider in the NPPES registry on December 19, 2016.
Where is Nisrin Abdelsamie located?
Nisrin Abdelsamie practices at 4950 San Bernardino St Ste 218, Montclair, CA 91763. The listed phone number is (714) 785-3495.
What is Nisrin Abdelsamie's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Nisrin Abdelsamie enrolled in Medicare?
Yes. Nisrin Abdelsamie 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.
When was this NPI record last updated?
The NPPES record for Nisrin Abdelsamie was last updated on December 6, 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.
# Mrs. Nisrin Abdelsamie, FNP · NPI 1104360627
Family physician in Montclair, California. Individual provider, active in the CMS NPPES registry since December 19, 2016.
## Identity
- **NPI:** 1104360627 (Entity type: Individual)
- **Enumerated:** December 19, 2016
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95005663 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4950 SAN BERNARDINO ST STE 218, Montclair, CA 91763-2328
- **Phone:** (714) 785-3495
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** December 6, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104360627) · Data from the CMS NPPES public registry.