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DR. PATRICIA LYNN SAMUELSON MD
NPI 1144381351
Family Medicine in Sacramento, CA

Active since December 12, 2006PECOS Enrolled
3415 MARTIN LUTHER KING JR BLVD, SACRAMENTO, CA 95817(916) 737-5555 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 21, 2020, Jul 31, 2020 (2 updates tracked since 2020).

About Dr. Patricia Lynn Samuelson Md NPPES

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

DR. PATRICIA LYNN SAMUELSON MD (NPI 1144381351) is an individual family medicine provider in Sacramento, California, licensed in California (G55644) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of University Of California, Davis School Of Medicine (1984).

NPPES Registry Identity

NPI1144381351
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. PATRICIA LYNN SAMUELSONCredential: MD
Location Address3415 MARTIN LUTHER KING JR BLVDSacramento, CA 95817-3648
Mailing Address777 12th St Ste 250Sacramento, CA 95814-1929 · (916) 469-4690
Phone(916) 737-5555
Sole ProprietorYes
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 1984
Enumeration DateDecember 12, 2006
Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration
NPPES CertifiedAugust 21, 2020
✔ NPI 1144381351 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · G55644
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.
3415 MARTIN LUTHER KING JR BLVD, Sacramento, CA 95817
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Other Identifiers 1

Medicaid00G556440CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Patricia Lynn Samuelson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052443728
PECOS Enrollment IDI20100715000271
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 Reassignments

2

Medicare enrollment records show Patricia Samuelson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspace Health
Same address
Federally Qualified Health Center (FQHC)
3415 MARTIN LUTHER KING JR BLVD
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 101 clinicians in this Medicare group
NPI 1124257324 (916) 233-4910
Sacramento Native American Health Center Inc
3.1 mi
Federally Qualified Health Center (FQHC)
2020 J ST
Sacramento, CA 95814
  • Reassigned Medicare billing, California enrollment
  • 51 clinicians in this Medicare group
NPI 1588756530 (916) 341-0575

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 95817 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
$92.61 typical visit price
range $60.44 – $180.85
Typical copayment $23.15 (range $15.11 – $45.21)
Most-billed visit code 99203
Established Patient
$105.95 typical visit price
range $19.88 – $148.15
Typical copayment $26.48 (range $4.97 – $37.03)
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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
21 suppliers45 claims84 services$3.54 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers12 claims12 services$0.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers29 claims29 services$60.52 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
5 suppliers19 claims4,984 services$0.03 avg. paid by Medicare
Power wheelchair, group 2 standard, captains chair, patient weight capacity up to and including 300 pounds K0823
DME-Wheelchairs · category DD009N
1 supplier11 claims11 services$121.04 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
5 suppliers20 claims20 services$23.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

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

TAN C TUNG FNP
Nurse Practitioner (Family)
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 233-4910
GREGORY GAIL BROTT M.D.
Pediatrics
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 875-2995
RUTH SAUNDERS R.D.
Dietitian, Registered
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 628-9670
ASHLEY DENISE CRUZ MSPAS, MPH, PA-C
Physician Assistant
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 737-5555
MS. VIVIAN ANNETTE KOLL ADN
Registered Nurse
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 875-2932
WELLSPACE HEALTH
Clinic/Center (Federally Qualified Health Center (FQHC))
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 233-4910
RISHA B MALIK MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 737-5555
MARGARITA VERA
Technician, Other
3415 MARTIN LUTHER KING JR BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 875-2995

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 Patricia Samuelson's NPI number?

The NPI number for Patricia Samuelson is 1144381351. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Patricia Samuelson located?

Patricia Samuelson practices at 3415 Martin Luther King Jr Blvd, Sacramento, CA 95817. The listed phone number is (916) 737-5555.

What is Patricia Samuelson's specialty?

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

Is Patricia Samuelson enrolled in Medicare?

Yes. Patricia Samuelson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Patricia Samuelson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Patricia Samuelson reassigns Medicare benefits to 2 organizations: Wellspace Health (Sacramento, CA) and Sacramento Native American Health Center Inc (Sacramento, CA). Each 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 Patricia Samuelson'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 Patricia Samuelson was last updated on August 21, 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.