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: August 02, 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
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

Secondary Practice Locations 4

Location 11331 H St NW Ste 200Washington, DC 20005-4706 · Phone (888) 412-3632
Location 29700 N 91st St Ste A115Scottsdale, AZ 85258-5036 · Phone (888) 803-3370 · Fax (888) 803-3331
Location 32175 NW Raleigh St Ste 110Portland, OR 97210-2392 · Phone (719) 342-5809
Location 4555 Andover Park W Ste 200Tukwila, WA 98188-3379 · Phone (719) 342-5809

Accepted 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

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, I20260612002791
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 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.

Nurse Practitioner (Family)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Physician Assistant
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Physician Assistant (Medical)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Nurse Practitioner (Family)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Nurse Practitioner (Primary Care)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Physician Assistant (Medical)
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Physician Assistant
333 1ST ST STE A
SAN FRANCISCO, CA 94105
Nurse Practitioner (Family)
333 1ST ST STE A
SAN FRANCISCO, CA 94105

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.

What insurance does Samantha Dastrup accept?

Health plans from Antidote Health Plan of Arizona, Inc. and Blue Cross and Blue Shield of Kansas, Inc. list Samantha Dastrup 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.

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 3 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.