MS. POLINA MOISEYEVNA SAMOYLOVA NP
NPI 1295211159
Nurse Practitioner - Family in Tucson, AZ

Active since July 13, 2018PECOS EnrolledAccepts Medicare Assignment
400 W MAGEE RD, TUCSON, AZ 85704(520) 638-5553(520) 638-5543 Get Directions Write a Review

NPPES record last updated: September 19, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 19, 2018, Jul 13, 2018 (2 updates tracked since 2018).

About Ms. Polina Moiseyevna Samoylova Np NPPES

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

MS. POLINA MOISEYEVNA SAMOYLOVA NP (NPI 1295211159) is an individual family provider in Tucson, Arizona, licensed in Arizona (AP11404) and active in the NPI registry since July 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1295211159
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. POLINA MOISEYEVNA SAMOYLOVACredential: NP
Location Address400 W MAGEE RDTucson, AZ 85704-6438
Mailing Address400 W Magee RdTucson, AZ 85704-5555 · (520) 638-5553 · Fax (520) 638-5543
Fax(520) 638-5543
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 13, 2018
Last NPPES UpdateSeptember 19, 20182 updates tracked since enumeration
NPI 1295211159 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 AZ · AP11404
400 W MAGEE RD, Tucson, AZ 85704

Other Identifiers 3

Medicaid1295211159AZ
OtherAP11404AZ · Arizona State Board Of Nursing
OtherF06182317AZ · American Academy Of Nurse Practitioners Certification Board

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

Ms. Polina Moiseyevna Samoylova Np 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 ID5193079283
PECOS Enrollment IDI20181107003584
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 14

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
747 services482 patients
Mri scan of brain before and after contrast 70553
An MRI scan of the brain, both before and after contrast, helps visualize different brain structures. Initially, images are taken without a contrast agent. Then, a safe dye is injected which helps highlight certain areas, providing clearer, more detailed images.
86 services84 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
52 services50 patients
Evaluation of neuropsychological test, first hour 96132
An evaluation of neuropsychological tests is a process to assess your brain's function. It involves tasks designed to measure cognitive abilities such as memory, attention, problem-solving, and language skills. The first hour involves initial testing and observation.
45 services42 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
33 services25 patients
Mri scan of brain without contrast 70551
An MRI scan of the brain without contrast is a non-invasive imaging test. It uses a magnetic field and radio waves to create detailed images of your brain. It helps in detecting abnormalities like tumors, stroke, inflammation, or infection.
27 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85704 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 4

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

Psychiatry & Neurology (Neurology)
400 W MAGEE RD
TUCSON, AZ 85704
Ophthalmology
400 W MAGEE RD
TUCSON, AZ 85704
Psychiatry & Neurology (Neurology)
400 W MAGEE RD
TUCSON, AZ 85704
Nurse Practitioner (Family)
400 W MAGEE RD
TUCSON, AZ 85704

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 Polina Samoylova's NPI number?

The NPI number for Polina Samoylova is 1295211159. It was assigned to this individual provider in the NPPES registry on July 13, 2018.

Where is Polina Samoylova located?

Polina Samoylova practices at 400 W Magee Rd, Tucson, AZ 85704. The listed phone number is (520) 638-5553.

What is Polina Samoylova's specialty?

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

Is Polina Samoylova enrolled in Medicare?

Yes. Polina Samoylova 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 Polina Samoylova accept?

Health plans from Ambetter from Arizona Complete Health and Blue Cross Blue Shield of Arizona list Polina Samoylova 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 Polina Samoylova was last updated on September 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.