NICOLE SAMSON MD
NPI 1134578537
Family Medicine in Devils Lake, ND

Q: What is Nicole Samson's NPI number?

The NPI number for Nicole Samson is 1134578537. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Q: What is Nicole Samson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Nicole Samson was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since June 07, 2016PECOS EnrolledAccepts Medicare Assignment

1001 7TH STREET NE - ALTRU CLINIC/DEVILS LAKE, DEVILS LAKE, ND 58301(701) 662-2157(701) 780-4391 Get Directions Write a Review

NPPES record last updated: September 24, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 24, 2020, Nov 20, 2019 (2 updates tracked since 2019).

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About Nicole Samson Md NPPES

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

NICOLE SAMSON MD (NPI 1134578537) is an individual family medicine provider in Devils Lake, North Dakota, licensed in North Dakota (15356) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Altru Hospital, and is a graduate of University Of North Dakota School Of Medicine (2016).

NPPES Registry Identity

NPI1134578537

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNICOLE SAMSONCredential: MD

Location Address1001 7TH STREET NE - ALTRU CLINIC/DEVILS LAKEDevils Lake, ND 58301-2719

Mailing Address2401 Demers AveGrand Forks, ND 58201 · (701) 780-1891 · Fax (701) 780-4391

Phone(701) 662-2157

Fax(701) 780-4391

Sole ProprietorNo

Medical School CMSUniversity Of North Dakota School Of MedicineGraduated 2016

Enumeration DateJune 7, 2016

Last NPPES UpdateSeptember 24, 20202 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2020

✔ NPI 1134578537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in ND · 15356✔ Licensed in ND · RL14150

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1001 7TH STREET NE - ALTRU CLINIC/DEVILS LAKE, Devils Lake, ND 58301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, Medica, Sanford Health Plan.Insurance ›

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

Nicole Samson Md 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 ID8820382443

PECOS Enrollment IDI20181211000566

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.

Hospital Affiliations CMS Care Compare 2

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

Altru Hospital

Acute Care Hospitals · Grand Forks, ND

3/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number350019

Location1200 S Columbia RdGrand Forks, ND 58201 · Grand Forks County

Emergency services Birthing friendly

Chi St Alexius Health Devils Lake

Critical Access Hospitals · Devils Lake, ND

OwnershipVoluntary non-profit - Private

CMS Certification Number351333

Location1031 7th St NEDevils Lake, ND 58301 · Ramsey County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58301 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

$85.71 typical visit price

range $55.75 – $168.12

Typical copayment $21.42 (range $13.93 – $42.03)

Most-billed visit code 99203

Established Patient

$98.29 typical visit price

range $18.11 – $137.65

Typical copayment $24.57 (range $4.52 – $34.41)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

1 supplier11 claims20 services$2.03 avg. paid by Medicare

Filter, disposable, used with aerosol compressor or ultrasonic generator A7013

DME-Other DME · category DE000N

1 supplier14 claims28 services$0.65 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

1 supplier25 claims25 services$7.37 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

1 supplier12 claims720 services$6.37 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

4 suppliers14 claims14 services$24.16 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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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 Nicole Samson's NPI number?

The NPI number for Nicole Samson is 1134578537. It was assigned to this individual provider in the NPPES registry on June 7, 2016.

Where is Nicole Samson located?

Nicole Samson practices at 1001 7th Street NE - Altru Clinic/Devils Lake, Devils Lake, ND 58301. The listed phone number is (701) 662-2157.

What is Nicole Samson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nicole Samson enrolled in Medicare?

Yes. Nicole Samson 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.

What insurance does Nicole Samson accept?

Health plans from Blue Cross Blue Shield of North Dakota, Medica and Sanford Health Plan list Nicole Samson 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.

Is Nicole Samson affiliated with any hospitals?

According to CMS data, Nicole Samson is affiliated with Altru Hospital and Chi St Alexius Health Devils Lake.

When was this NPI record last updated?

The NPPES record for Nicole Samson was last updated on September 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.