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SAMANTHA DASTRUP AGNP-C
NPI 1245854165
Nurse Practitioner - Adult Health in San Francisco, CA

Active since June 05, 2020PECOS EnrolledAccepts Medicare Assignment
333 1ST ST STE A, SAN FRANCISCO, CA 94105(719) 343-5809 Get Directions Write a Review

NPPES record last updated: April 6, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 6, 2026, Mar 25, 2026, Sep 13, 2021 and 1 more (4 updates tracked since 2020).

About Samantha Dastrup Agnp-c NPPES

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

SAMANTHA DASTRUP AGNP-C (NPI 1245854165) is an individual adult health provider in San Francisco, California, licensed in California (95038256) and active in the NPI registry since June 2020. She is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1245854165
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSAMANTHA DASTRUPCredential: AGNP-C
Location Address333 1ST ST STE ASan Francisco, CA 94105-2661
Mailing Address1631 Se Salmonberry AveDallas, OR 97338-1989 · (719) 342-5809
Phone(719) 343-5809
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateJune 5, 2020
Last NPPES UpdateApril 6, 20264 updates tracked since enumeration
NPPES CertifiedApril 6, 2026
✔ NPI 1245854165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
Licenses✔ Licensed in CA · 95038256✔ Licensed in AZ · 242012✔ Licensed in WA · 61302790✔ Licensed in DC · NP500339167✔ Licensed in OR · 10007031
333 1ST ST STE A, San Francisco, CA 94105
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1555 Andover Park W Ste 200Tukwila, WA 98188-3379 · Phone (719) 342-5809
Location 21331 H St NW Ste 200Washington, DC 20005-4706 · Phone (888) 412-3632
Location 39700 N 91st St Ste A115Scottsdale, AZ 85258-5036 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 42175 NW Raleigh St Ste 110Portland, OR 97210-2392 · Phone (719) 342-5809

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

Samantha Dastrup Agnp-c 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 ID9830519545
PECOS Enrollment IDI20251226001849, I20260415003773
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

2

Medicare enrollment records show Samantha Dastrup reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Circle Medical Care Of California
Same address
Family Medicine
333 1ST ST STE A
San Francisco, CA 94105
  • Reassigned Medicare billing, California enrollment
  • 178 clinicians in this Medicare group
NPI 1134596091 (888) 803-3370
Circle Medical Care Group PA
2,399 mi
Family Medicine
400 N TAMPA ST FL 15
Tampa, FL 33602
  • Reassigned Medicare billing, District of Columbia and Washington enrollments
  • 54 clinicians in this Medicare group
NPI 1972358760 (888) 803-3370

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94105 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 20

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

MRS. KILEA LANAY JOHNSON MSN, RN, FNP-C
Nurse Practitioner (Family)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
CAMILA M AGUILAR
Physician Assistant
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
KENDALL CHRISTINE LUBATTI PA-C
Physician Assistant (Medical)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
JESSICA KENSER DNP
Nurse Practitioner (Family)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
MRS. ALLYSON MK COLLINS APRN
Nurse Practitioner (Primary Care)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
ANGEL WONG
Physician Assistant (Medical)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
EMMA MARIE TODD PA-C
Physician Assistant
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370
DR. BRANDI HARLOW FNP-BC
Nurse Practitioner (Family)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
San Francisco County (888) 803-3370

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 Samantha Dastrup's NPI number?

The NPI number for Samantha Dastrup is 1245854165. It was assigned to this individual provider in the NPPES registry on June 5, 2020.

Where is Samantha Dastrup located?

Samantha Dastrup practices at 333 1st St Ste A, San Francisco, CA 94105. The listed phone number is (719) 343-5809.

What is Samantha Dastrup's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Samantha Dastrup enrolled in Medicare?

Yes. Samantha Dastrup 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 Samantha Dastrup's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dastrup reassigns Medicare benefits to 2 organizations: Circle Medical Care Of California (San Francisco, CA) and Circle Medical Care Group PA (Tampa, FL). 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 Samantha Dastrup's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Dastrup was last updated on April 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.