Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAMANTHA MIELKE FNP-BC
NPI 1114561263
Nurse Practitioner - Family in Dallas, TX

Q: What is Samantha Mielke's NPI number?

The NPI number for Samantha Mielke is 1114561263. It was assigned to this individual provider in the NPPES registry on November 1, 2019.

Q: What is Samantha Mielke's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Mielke was last updated on July 21, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since November 01, 2019PECOS Enrolled

2280 INWOOD RD, DALLAS, TX 75235(214) 645-8525 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2026, Dec 19, 2019, Nov 1, 2019 (3 updates tracked since 2019).

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About Samantha Mielke Fnp-bc NPPES

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

SAMANTHA MIELKE FNP-BC (NPI 1114561263) is an individual family provider in Dallas, Texas, licensed in Texas (AP142688) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1114561263

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA MIELKECredential: FNP-BC

Location Address2280 INWOOD RDDallas, TX 75235-7321

Mailing Address2280 Inwood RdDallas, TX 75235-7321 · (214) 645-8525

Phone(214) 645-8525

Sole ProprietorNo

Medical School CMSOtherGraduated 2022

Enumeration DateNovember 1, 2019

Last NPPES UpdateJuly 21, 20263 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1114561263 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

Licenses✔ Licensed in TX · AP142688✔ Licensed in VA · 0024178065✔ Licensed in DC · RN1053033

2280 INWOOD RD, Dallas, TX 75235

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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 and accepts Medicare assignment

Samantha Mielke Fnp-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 ID2062840580

PECOS Enrollment IDI20200317000849, I20240611004236

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

122 services120 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

33 services33 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

18 services18 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Inova Alexandria Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490040

Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County

Emergency services Birthing friendly

Inova Fairfax Hospital

Acute Care Hospitals · Falls Church, VA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490063

Location3300 Gallows RoadFalls Church, VA 22042 · Fairfax County

Emergency services Birthing friendly

Inova Mount Vernon Hospital

Acute Care Hospitals · Alexandria, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490122

Location2501 Parkers LaneAlexandria, VA 22306 · Fairfax County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75235 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 12

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

MICHAEL DOHOPOLSKI MD

Radiology (Radiation Oncology)