SAMANTHA SECOR RN, MSN, FNP
NPI 1205332574
Nurse Practitioner - Family in Daly City, CA

Q: What is Samantha Secor's NPI number?

The NPI number for Samantha Secor is 1205332574. It was assigned to this individual provider in the NPPES registry on April 4, 2018.

Q: What is Samantha Secor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Secor was last updated on January 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 04, 2018PECOS EnrolledAccepts Medicare Assignment

1850 SULLIVAN AVE STE 330, DALY CITY, CA 94015(650) 756-5630 Get Directions Write a Review

NPPES record last updated: January 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Samantha Secor Rn, Msn, Fnp NPPES

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

SAMANTHA SECOR RN, MSN, FNP (NPI 1205332574) is an individual family provider in Daly City, California, licensed in California (F08170478) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1205332574

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA SECORCredential: RN, MSN, FNP

Location Address1850 SULLIVAN AVE STE 330Daly City, CA 94015-2204

Mailing Address1850 Sullivan Ave Ste 330Daly City, CA 94015-2204

Phone(650) 756-5630

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateApril 4, 2018

Last NPPES UpdateJanuary 3, 2022

✔ NPI 1205332574 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · F08170478

1850 SULLIVAN AVE STE 330, Daly City, CA 94015

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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 and accepts Medicare assignment

Samantha Secor Rn, Msn, 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 ID4082978937

PECOS Enrollment IDI20250604001140

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 94015 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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 8

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

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