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BERSABEH MULUGETA SAMUEL ACNP
NPI 1154186765
Nurse Practitioner - Acute Care in Richardson, TX

Active since February 14, 2024PECOS Enrolled
3001 E PRESIDENT GEORGE BUSH HWY STE 210, RICHARDSON, TX 75082(469) 204-9400 Get Directions Write a Review

NPPES record last updated: February 14, 2024. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Bersabeh Mulugeta Samuel Acnp NPPES

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

BERSABEH MULUGETA SAMUEL ACNP (NPI 1154186765) is an individual acute care provider in Richardson, Texas, licensed in Texas (1146085) and active in the NPI registry since February 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154186765
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameBERSABEH MULUGETA SAMUELCredential: ACNP
Location Address3001 E PRESIDENT GEORGE BUSH HWY STE 210Richardson, TX 75082-3552
Mailing Address3449 Foxboro DrRichardson, TX 75082-4124 · (832) 798-2506
Phone(469) 204-9400
Sole ProprietorYes
Enumeration DateFebruary 14, 2024
NPPES CertifiedFebruary 14, 2024
✔ NPI 1154186765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in TX · 1146085
3001 E PRESIDENT GEORGE BUSH HWY STE 210, Richardson, TX 75082
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bersabeh Mulugeta Samuel Acnp 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 75082 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 5

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

JOSHUA DAVID HILLIARD PA-C
Physician Assistant
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Dallas County (469) 913-9400
ELIZABETH MARIE FATA PA-C
Physician Assistant
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Dallas County (469) 913-9400
DR. ASAD KHAN MOHMAND M.D.
Internal Medicine (Interventional Cardiology)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Dallas County (469) 913-9400
MOHAMAD KABACH M.D
Internal Medicine (Interventional Cardiology)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Dallas County (469) 913-9400
AMBER HASSAN-HUSSEIN
Physician Assistant (Medical)
3001 E PRESIDENT GEORGE BUSH HWY STE 210
RICHARDSON, TX 75082
Dallas County (469) 913-9400

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 Bersabeh Samuel's NPI number?

The NPI number for Bersabeh Samuel is 1154186765. It was assigned to this individual provider in the NPPES registry on February 14, 2024.

Where is Bersabeh Samuel located?

Bersabeh Samuel practices at 3001 E President George Bush Hwy Ste 210, Richardson, TX 75082. The listed phone number is (469) 204-9400.

What is Bersabeh Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Bersabeh Samuel enrolled in Medicare?

Yes. Bersabeh Samuel is registered in the Medicare PECOS enrollment system.

What insurance does Bersabeh Samuel accept?

Health plans from Blue Cross and Blue Shield of Texas list Bersabeh Samuel 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.

When was this NPI record last updated?

The NPPES record for Bersabeh Samuel was last updated on February 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.