MRS. JENNIFER LEE SAMUELS RN, MSN, CPNP
NPI 1265621866
Nurse Practitioner - Pediatrics in Los Angeles, CA

Active since October 18, 2007PECOS Enrolled
4650 W SUNSET BLVD, LOS ANGELES, CA 90027(323) 361-5162(323) 361-3717 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 21, 2022, Mar 10, 2021, Mar 17, 2018 and 2 more (5 updates tracked since 2016).

About Mrs. Jennifer Lee Samuels Rn, Msn, Cpnp NPPES

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

MRS. JENNIFER LEE SAMUELS RN, MSN, CPNP (NPI 1265621866) is an individual pediatrics provider in Los Angeles, California, licensed in California (95075527) and active in the NPI registry since October 2007. She is enrolled in Medicare PECOS and maintains a secondary practice location in Gilbert.

NPPES Registry Identity

NPI1265621866
Entity TypeIndividualFemale
Primary Taxonomy363LP0200X
Provider Legal NameMRS. JENNIFER LEE SAMUELSCredential: RN, MSN, CPNP
Location Address4650 W SUNSET BLVDLos Angeles, CA 90027-6062
Mailing Address7975 N Hayden Rd, Ste D354Scottsdale, AZ 85258-3243 · (323) 361-3550
Fax(323) 361-3717
Sole ProprietorNo
Enumeration DateOctober 18, 2007
Last NPPES UpdateJuly 21, 20225 updates tracked since enumeration
NPPES CertifiedMarch 10, 2021
NPI 1265621866 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License Licensed in CA · 95075527
4650 W SUNSET BLVD, Los Angeles, CA 90027

Other Names 1

Former Name (1)Jennifer Lee Shaffer Rn, Msn, Cpnp

Secondary Practice Location 1

Location 11430 N Cooper Rd, Suite 101Gilbert, AZ 85233-1242 · Phone (480) 633-1111

Other Identifiers 1

Other95075527CA · State License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mrs. Jennifer Lee Samuels Rn, Msn, Cpnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90027 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Pediatrics
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Pediatrics (Pediatric Pulmonology)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
General Acute Care Hospital (Children)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Physical Therapist (Pediatrics)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Psychologist (Clinical Child & Adolescent)
4650 W SUNSET BLVD, MS #53
LOS ANGELES, CA 90027
Nurse Practitioner (Pediatrics)
4650 W SUNSET BLVD, MS #81
LOS ANGELES, CA 90027
Pediatrics (Pediatric Emergency Medicine)
4650 W SUNSET BLVD
LOS ANGELES, CA 90027
Student in an Organized Health Care Education/Training Program
4650 W SUNSET BLVD
LOS ANGELES, CA 90027

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 Jennifer Samuels's NPI number?

The NPI number for Jennifer Samuels is 1265621866. It was assigned to this individual provider in the NPPES registry on October 18, 2007. The provider is also known as Jennifer Lee Shaffer Rn, Msn, Cpnp.

Where is Jennifer Samuels located?

Jennifer Samuels practices at 4650 W Sunset Blvd, Los Angeles, CA 90027. The listed phone number is (323) 361-5162.

What is Jennifer Samuels's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Jennifer Samuels enrolled in Medicare?

Yes. Jennifer Samuels is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Samuels was last updated on July 21, 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.