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

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: October 18, 2026.

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

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
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

Accepted Insurance

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

5

Medicare enrollment records show Samuel Speights reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Federally Qualified Health Center (FQHC)
10737 CAMINO RUIZ, SUITE 235
San Diego, CA 92126
  • Reassigned Medicare billing, California enrollment
  • 41 clinicians in this Medicare group
Psychiatry
3095 TELEGRAPH AVE
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 103 clinicians in this Medicare group
Internal Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, California enrollment
  • 105 clinicians in this Medicare group
Psychiatry
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 480 clinicians in this Medicare group
Family Medicine
7877 WILLOW CHASE BLVD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 435 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Chiropractor
10737 CAMINO RUIZ
SAN DIEGO, CA 92126
Internal Medicine
10737 CAMINO RUIZ, SUITE 115
SAN DIEGO, CA 92126
Internal Medicine
10737 CAMINO RUIZ, SUITE 200
SAN DIEGO, CA 92126
Dentist (General Practice)
10737 CAMINO RUIZ, SUITE 230
SAN DIEGO, CA 92126
Nurse Practitioner (Primary Care)
10737 CAMINO RUIZ
SAN DIEGO, CA 92126
Obstetrics & Gynecology
10737 CAMINO RUIZ, SUITE 114
SAN DIEGO, CA 92126
Dentist (General Practice)
10737 CAMINO RUIZ
SAN DIEGO, CA 92126
Non-Pharmacy Dispensing Site
10737 CAMINO RUIZ, 235
SAN DIEGO, CA 92126

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.

Which organizations bill Medicare for Samuel Speights's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Speights reassigns Medicare benefits to 5 organizations: Operation Samahan, Inc. (San Diego, CA), Psychplus Associates Of California PC (Berkeley, CA), Psychplus Medical Associates Of California PC (Houston, TX), Psychiatry Of Texas PLLC (Houston, TX) and Psychplus Medical Associates, PLLC (Houston, TX). 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 Samuel Speights's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Samuel Speights accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare, Molina Healthcare, Oscar Insurance Company and UnitedHealthcare 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 48 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.