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MONICA SAM FNP
NPI 1184115354
Nurse Practitioner in Wilmington, DE

Active since May 23, 2018PECOS EnrolledAccepts Medicare Assignment
2006 LIMESTONE RD STE 7, WILMINGTON, DE 19808(302) 355-2383(302) 351-6261 Get Directions Write a Review

NPPES record last updated: May 14, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 14, 2025, Jun 19, 2018, May 23, 2018 (3 updates tracked since 2018).

About Monica Sam Fnp NPPES

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

MONICA SAM FNP (NPI 1184115354) is an individual nurse practitioner in Wilmington, Delaware, licensed in Delaware (LG-0001069) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1184115354
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMONICA SAMCredential: FNP
Location Address2006 LIMESTONE RD STE 7Wilmington, DE 19808
Mailing Address2300 Pennsylvania Ave Ste 3bWilmington, DE 19806-1333 · (302) 596-8999 · Fax (302) 596-8998
Phone(302) 355-2383
Fax(302) 351-6261
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateMay 23, 2018
Last NPPES UpdateMay 14, 20253 updates tracked since enumeration
NPPES CertifiedMay 14, 2025
✔ NPI 1184115354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in DE · LG-0001069
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
2006 LIMESTONE RD STE 7, Wilmington, DE 19808
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Other Identifiers 1

OtherLG-0001069DE · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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

Monica Sam Fnp 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 ID4385071356
PECOS Enrollment IDI20200304000781
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 4

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
179 services97 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
64 services62 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
24 services22 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
24 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

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

BRENDEN DAVID CONNOR DO
Internal Medicine (Nephrology)
2006 LIMESTONE RD STE 7
WILMINGTON, DE 19808
New Castle County (302) 355-2383

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 Monica Sam's NPI number?

The NPI number for Monica Sam is 1184115354. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Where is Monica Sam located?

Monica Sam practices at 2006 Limestone Rd Ste 7, Wilmington, DE 19808. The listed phone number is (302) 355-2383.

What is Monica Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Monica Sam enrolled in Medicare?

Yes. Monica Sam 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 Monica Sam accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Monica Sam 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 Monica Sam was last updated on May 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.