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MERSON SAMUEL NP
NPI 1174643654
Nurse Practitioner - Adult Health in Garden City Park, NY

Active since March 30, 2007PECOS Enrolled
119 FULTON AVE, GARDEN CITY PARK, NY 11040(516) 877-8052 Get Directions Write a Review

NPPES record last updated: August 14, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Merson Samuel Np NPPES

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

MERSON SAMUEL NP (NPI 1174643654) is an individual adult health provider in Garden City Park, New York, licensed in New York (F303651) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174643654
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameMERSON SAMUELCredential: NP
Location Address119 FULTON AVEGarden City Park, NY 11040
Mailing Address972 Brush Hollow RdWestbury, NY 11590-1740 · (516) 876-5555 · Fax (516) 876-1246
Phone(516) 877-8052
Sole ProprietorYes
Enumeration DateMarch 30, 2007
Last NPPES UpdateAugust 14, 2018
✔ NPI 1174643654 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NY · F303651
Also ListedRegistered NurseTaxonomy 163W00000X · License 431164 (NY)
119 FULTON AVE, Garden City Park, NY 11040
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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)

Merson Samuel Np 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 11040 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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 Merson Samuel's NPI number?

The NPI number for Merson Samuel is 1174643654. It was assigned to this individual provider in the NPPES registry on March 30, 2007.

Where is Merson Samuel located?

Merson Samuel practices at 119 Fulton Ave, Garden City Park, NY 11040. The listed phone number is (516) 877-8052.

What is Merson Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Merson Samuel enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Merson Samuel was last updated on August 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.