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KEILEN LEIGH-ANN SAM
NPI 1114442167
Nurse Practitioner - Family in Dunkirk, NY

Active since August 11, 2017PECOS Enrolled
3898 VINEYARD DR, DUNKIRK, NY 14048(716) 363-2233 Get Directions Write a Review

NPPES record last updated: June 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 3, 2021, Sep 20, 2017, Aug 11, 2017 (3 updates tracked since 2017).

About Keilen Leigh-ann Sam NPPES

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

KEILEN LEIGH-ANN SAM (NPI 1114442167) is an individual family provider in Dunkirk, New York, licensed in New York (F341921-1) and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114442167
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKEILEN LEIGH-ANN SAM
Location Address3898 VINEYARD DRDunkirk, NY 14048-3559
Mailing Address908 Niagara Falls Blvd Ste 208North Tonawanda, NY 14120-2019 · (716) 692-2160
Phone(716) 363-2233
Sole ProprietorNo
Enumeration DateAugust 11, 2017
Last NPPES UpdateJune 3, 20213 updates tracked since enumeration
NPPES CertifiedMay 12, 2021
✔ NPI 1114442167 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NY · F341921-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 646460-1 (NY)
3898 VINEYARD DR, Dunkirk, NY 14048
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keilen Leigh-ann 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14048 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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 7

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

GENERAL PHYSICIAN, PC
General Practice
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 692-3302
MAXIM MITCHELL MD
Family Medicine
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 646-5500
TAT SUM LEE, M.D.
Internal Medicine
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-1515
DR. STEPHEN PETER SMITH M.D.
Internal Medicine
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-1515
DR. TAT- SUM LEE M.D.
Family Medicine
3898 VINEYARD DR, SUITE 3
DUNKIRK, NY 14048
Chautauqua County (716) 363-1515
MRS. KATELYN RENEE HEIST FNP-BC
Nurse Practitioner (Family)
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-6960
DR. JAMES JOSEPH CIRBUS MD
Internal Medicine (Cardiovascular Disease)
3898 VINEYARD DR
DUNKIRK, NY 14048
Chautauqua County (716) 363-6960

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 Keilen Sam's NPI number?

The NPI number for Keilen Sam is 1114442167. It was assigned to this individual provider in the NPPES registry on August 11, 2017.

Where is Keilen Sam located?

Keilen Sam practices at 3898 Vineyard Dr, Dunkirk, NY 14048. The listed phone number is (716) 363-2233.

What is Keilen Sam's specialty?

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

Is Keilen Sam enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Keilen Sam was last updated on June 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.