Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MR. SAMUEL SPEIGHTS PMHNP-BC
NPI 1194405209
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Samuel Speights's NPI number?

The NPI number for Samuel Speights is 1194405209. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Q: What is Samuel Speights's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Speights was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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 July 24, 2023PECOS EnrolledAccepts Medicare Assignment

10737 CAMINO RUIZ, SAN DIEGO, CA 92126(844) 200-2426(619) 474-4008 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 2, 2026, May 4, 2026, Jan 28, 2026 and 1 more (4 updates tracked since 2023).

On this page

About Mr. Samuel Speights Pmhnp-bc NPPES

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

MR. SAMUEL SPEIGHTS PMHNP-BC (NPI 1194405209) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95030582) and active in the NPI registry since July 2023. He is enrolled in Medicare PECOS, is affiliated with Advanced Dallas Hospitals And Clinics, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1194405209

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameMR. SAMUEL SPEIGHTSCredential: PMHNP-BC

Location Address10737 CAMINO RUIZSan Diego, CA 92126-2359

Mailing Address637 3rd Ave Ste E1Chula Vista, CA 91910-5707

Phone(844) 200-2426

Fax(619) 474-4008

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJuly 24, 2023

Last NPPES UpdateSeptember 2, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 2, 2026

✔ NPI 1194405209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95030582

10737 CAMINO RUIZ, San Diego, CA 92126

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company and more.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

Mr. Samuel Speights Pmhnp-bc 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 ID7416395025

PECOS Enrollment IDI20240402001869

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

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

Advanced Dallas Hospitals And Clinics

Acute Care Hospitals · Dallas, TX

OwnershipProprietary

CMS Certification Number670321

Location7502 Greenville AvenueDallas, TX 75231 · Dallas County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92126 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

$94.87 typical visit price

range $62.10 – $184.71

Typical copayment $23.71 (range $15.52 – $46.17)

Most-billed visit code 99203

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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 20

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

VENNES SU DC

Chiropractor

10737 CAMINO RUIZ
SAN DIEGO, CA 92126

San Diego County (844) 200-2426

GABRIEL T FABELLA M.D.

Internal Medicine

10737 CAMINO RUIZ, SUITE 115
SAN DIEGO, CA 92126

San Diego County (858) 695-1262

DR. TUNG N LAI MD

Internal Medicine

10737 CAMINO RUIZ, SUITE 200
SAN DIEGO, CA 92126

San Diego County (858) 653-0147

DR. YUMIN TU D.D.S.

Dentist (General Practice)

10737 CAMINO RUIZ, SUITE 230
SAN DIEGO, CA 92126

San Diego County (858) 693-3987

ERIC JAY STOREY FNP-BC

Nurse Practitioner (Primary Care)

10737 CAMINO RUIZ
SAN DIEGO, CA 92126

San Diego County (844) 200-2426

ADVANCED HEALTHCARE CENTER APC

Obstetrics & Gynecology

10737 CAMINO RUIZ, SUITE 114
SAN DIEGO, CA 92126

San Diego County (858) 578-9600

DR. KWANG J KIM D.D.S.

Dentist (General Practice)

10737 CAMINO RUIZ
SAN DIEGO, CA 92126

San Diego County (858) 549-7181

OPERATION SAMAHAN, INC.

Non-Pharmacy Dispensing Site

10737 CAMINO RUIZ, 235
SAN DIEGO, CA 92126

San Diego County (858) 578-4220

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 Samuel Speights's NPI number?

The NPI number for Samuel Speights is 1194405209. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Samuel Speights located?

Samuel Speights practices at 10737 Camino Ruiz, San Diego, CA 92126. The listed phone number is (844) 200-2426.

What is Samuel Speights's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samuel Speights enrolled in Medicare?

Yes. Samuel Speights 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 Samuel Speights accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Oscar Insurance Company, Providence Health Plan and UnitedHealthcare and 1 other insurer list Samuel Speights 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 Samuel Speights affiliated with any hospitals?

According to CMS data, Samuel Speights is affiliated with Advanced Dallas Hospitals And Clinics.

When was this NPI record last updated?

The NPPES record for Samuel Speights was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 27 days 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.