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

EBONI T SAMPSON FNP
NPI 1245047513
Nurse Practitioner - Family in Charlottesville, VA

Active since December 11, 2024PECOS Enrolled
500 RAY C HUNT DR, CHARLOTTESVILLE, VA 22903(434) 924-2224 Get Directions Write a Review

NPPES record last updated: August 6, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2026, Nov 25, 2025, Sep 19, 2025 and 1 more (4 updates tracked since 2024).

About Eboni T Sampson Fnp NPPES

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

EBONI T SAMPSON FNP (NPI 1245047513) is an individual family provider in Charlottesville, Virginia, licensed in Virginia (0024196983) and active in the NPI registry since December 2024. She is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1245047513
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameEBONI T SAMPSONCredential: FNP
Location Address500 RAY C HUNT DRCharlottesville, VA 22903-2981
Mailing AddressPo Box 749112Atlanta, GA 30374-9112 · (434) 295-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateDecember 11, 2024
Last NPPES UpdateAugust 6, 20264 updates tracked since enumeration
NPPES CertifiedAugust 6, 2026
NPI 1245047513 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in VA · 0024196983 Licensed in MD · R274325
Also ListedRegistered NurseTaxonomy 163W00000X · License RN9641171 (FL)
Also ListedNurse PractitionerTaxonomy 363L00000X · License SP034182 (PA)
500 RAY C HUNT DR, Charlottesville, VA 22903

Other Names 1

Other Name (5)Eboni Tucker Sampson Crnp

Secondary Practice Locations 3

Location 16703 Cathedral AveLanham, MD 20706-3701 · Phone (719) 661-9117
Location 2500 UNIVERSITY DRHERSHEY, PA 17033-2360 · Phone (717) 531-6822 · Fax (717) 531-4907
Location 31215 Lee StCharlottesville, VA 22908-0816 · Phone (434) 924-3627

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

Eboni T Sampson 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 ID9739673914
PECOS Enrollment IDI20251215002758
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.

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22903 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
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Urology
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Nurse Practitioner (Acute Care)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Nurse Practitioner
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Internal Medicine (Cardiovascular Disease)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903

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 Eboni Sampson's NPI number?

The NPI number for Eboni Sampson is 1245047513. It was assigned to this individual provider in the NPPES registry on December 11, 2024. The provider is also known as Eboni Tucker Sampson Crnp.

Where is Eboni Sampson located?

Eboni Sampson practices at 500 Ray C Hunt Dr, Charlottesville, VA 22903. The listed phone number is (434) 924-2224.

What is Eboni Sampson's specialty?

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

Is Eboni Sampson enrolled in Medicare?

Yes. Eboni Sampson 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.

Is Eboni Sampson affiliated with any hospitals?

According to CMS data, Eboni Sampson is affiliated with Milton S Hershey Medical Center.

When was this NPI record last updated?

The NPPES record for Eboni Sampson was last updated on August 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.