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JENNIFER SAM
NPI 1336405059
Nurse Practitioner - Psychiatric/Mental Health in Shelby Township, MI

Active since April 06, 2012PECOS Enrolled
13045 MICHAEL DR, SHELBY TOWNSHIP, MI 48315(248) 225-1959 Get Directions Write a Review

NPPES record last updated: May 9, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2024, Apr 12, 2022, Sep 27, 2021 and 1 more (4 updates tracked since 2021).

About Jennifer Sam NPPES

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

JENNIFER SAM (NPI 1336405059) is an individual psychiatric/mental health provider in Shelby Township, Michigan, licensed in Michigan (4704248128) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains a secondary practice location in Rochester.

NPPES Registry Identity

NPI1336405059
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameJENNIFER SAM
Location Address13045 MICHAEL DRShelby Township, MI 48315-4744
Mailing Address13045 Michael DrShelby Township, MI 48315-3952 · (248) 225-1959
Phone(248) 225-1959
Sole ProprietorYes
Enumeration DateApril 6, 2012
Last NPPES UpdateMay 9, 20244 updates tracked since enumeration
NPPES CertifiedMay 9, 2024
✔ NPI 1336405059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in MI · 4704248128
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4704248128 (MI)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 4704248128 (MI)
13045 MICHAEL DR, Shelby Township, MI 48315
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Secondary Practice Location 1

Location 1210 W University Dr Ste 6DRochester, MI 48307-1975 · Phone (586) 330-0659

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Sam 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48315 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Sam's NPI number?

The NPI number for Jennifer Sam is 1336405059. It was assigned to this individual provider in the NPPES registry on April 6, 2012.

Where is Jennifer Sam located?

Jennifer Sam practices at 13045 Michael Dr, Shelby Township, MI 48315. The listed phone number is (248) 225-1959.

What is Jennifer Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Jennifer Sam enrolled in Medicare?

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

What insurance does Jennifer Sam accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health and 1 other insurer list Jennifer Sam 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 Jennifer Sam was last updated on May 9, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.