SUNIL SAM PMHNP
NPI 1366934176
Nurse Practitioner - Psychiatric/Mental Health in Festus, MO

Q: What is Sunil Sam's NPI number?

The NPI number for Sunil Sam is 1366934176. It was assigned to this individual provider in the NPPES registry on June 6, 2018.

Q: What is Sunil Sam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Sunil Sam was last updated on April 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since June 06, 2018PECOS EnrolledAccepts Medicare Assignment

1400 US HIGHWAY 61, FESTUS, MO 63028(314) 251-6663 Get Directions Write a Review

NPPES record last updated: April 25, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Sunil Sam Pmhnp NPPES

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

SUNIL SAM PMHNP (NPI 1366934176) is an individual psychiatric/mental health provider in Festus, Missouri, licensed in Missouri (2025009021) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with St Bernard Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1366934176

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameSUNIL SAMCredential: PMHNP

Location Address1400 US HIGHWAY 61Festus, MO 63028-4100

Mailing Address136 S Windham LnBloomingdale, IL 60108-2536 · (630) 765-4073

Phone(314) 251-6663

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateJune 6, 2018

Last NPPES UpdateApril 25, 2025

NPPES CertifiedApril 25, 2025

✔ NPI 1366934176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MO · 2025009021✔ Licensed in IL · 2017037640

1400 US HIGHWAY 61, Festus, MO 63028

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Secondary Practice Locations 3

Location 1851 E 5th St Ste 154Washington, MO 63090-3136 · Phone (314) 251-6663

Location 210018 Kennerly RdSaint Louis, MO 63128-2106 · Phone (314) 251-6663

Location 3615 S New Ballas RdSaint Louis, MO 63141-8221 · Phone (314) 251-6663

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Medica, UnitedHealthcare.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

Sunil Sam Pmhnp 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 ID5193146942

PECOS Enrollment IDI20200602002902, I20250506002882

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Bernard Hospital

Acute Care Hospitals · Chicago, IL

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number140103

Location326 W 64th StChicago, IL 60621 · Cook County

Emergency services

Mercy Hospital Jefferson

Acute Care Hospitals · Festus, MO

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number260023

Location1400 Us Highway 61Festus, MO 63028 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63028 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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.

MERCY HEALTH SERVICES, LLC

Pharmacy (Community/Retail Pharmacy)

1400 US HIGHWAY 61, STE G38
FESTUS, MO 63028

Jefferson County (636) 933-1600

KARTHIK IYER MD

Internal Medicine (Critical Care Medicine)