MS. BINCY SAMUEL NP-C
NPI 1376054775
Nurse Practitioner - Family in Fort Worth, TX

Active since October 12, 2017PECOS EnrolledAccepts Medicare Assignment
855 MONTGOMERY ST FL 4, FORT WORTH, TX 76107(817) 735-2400(817) 735-0615 Get Directions Write a Review

NPPES record last updated: May 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 11, 2021, Mar 12, 2021, Oct 12, 2017 (3 updates tracked since 2017).

About Ms. Bincy Samuel Np-c NPPES

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

MS. BINCY SAMUEL NP-C (NPI 1376054775) is an individual family provider in Fort Worth, Texas, licensed in Texas (1022076) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1376054775
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. BINCY SAMUELCredential: NP-C
Location Address855 MONTGOMERY ST FL 4Fort Worth, TX 76107-2553
Mailing Address855 Montgomery StFort Worth, TX 76107-2553 · (817) 735-5418
Fax(817) 735-0615
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateOctober 12, 2017
Last NPPES UpdateMay 11, 20213 updates tracked since enumeration
NPPES CertifiedMay 11, 2021
NPI 1376054775 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
Licenses Licensed in TX · 1022076 Licensed in MI · 4704276935
855 MONTGOMERY ST FL 4, Fort Worth, TX 76107

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. Bincy Samuel Np-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 ID6002173010
PECOS Enrollment IDI20210324000342
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 76107 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 3

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

Nurse Practitioner (Gerontology)
855 MONTGOMERY ST FL 4
FORT WORTH, TX 76107
Psychologist (Clinical)
855 MONTGOMERY ST FL 4
FORT WORTH, TX 76107
Social Worker (Clinical)
855 MONTGOMERY ST FL 4
FORT WORTH, TX 76107

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 Bincy Samuel's NPI number?

The NPI number for Bincy Samuel is 1376054775. It was assigned to this individual provider in the NPPES registry on October 12, 2017.

Where is Bincy Samuel located?

Bincy Samuel practices at 855 Montgomery St Fl 4, Fort Worth, TX 76107. The listed phone number is (817) 735-2400.

What is Bincy Samuel's specialty?

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

Is Bincy Samuel enrolled in Medicare?

Yes. Bincy Samuel 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 Bincy Samuel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Bincy Samuel 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 Bincy Samuel was last updated on May 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.