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MRS. SAMARA LYSE BEATRICE CHARLES NP
NPI 1376410274
Nurse Practitioner - Psychiatric/Mental Health in Philadelphia, PA

Active since October 23, 2025PECOS Enrolled
3228 N. 20TH STREET, PHILADELPHIA, PA 19140(267) 880-8118 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2026, Dec 4, 2025 (2 updates tracked since 2025).

About Mrs. Samara Lyse Beatrice Charles Np NPPES

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

MRS. SAMARA LYSE BEATRICE CHARLES NP (NPI 1376410274) is an individual psychiatric/mental health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP034244) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1376410274
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameMRS. SAMARA LYSE BEATRICE CHARLESCredential: NP
Location Address3228 N. 20TH STREETPhiladelphia, PA 19140
Mailing Address3228 N 20th StreetPhiladelphia, PA 19140
Phone(267) 880-8118
Sole ProprietorYes
Enumeration DateOctober 23, 2025
Last NPPES UpdateMay 1, 20262 updates tracked since enumeration
NPPES CertifiedMay 1, 2026
✔ NPI 1376410274 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 PA · SP034244✔ Licensed in DE · L8--0010993
3228 N. 20TH STREET, Philadelphia, PA 19140
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Secondary Practice Location 1

Location 11207 Delaware Ave # 3918Wilmington, DE 19806-4743 · Phone (267) 880-8118

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. Samara Lyse Beatrice Charles Np 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 19140 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 Samara Charles's NPI number?

The NPI number for Samara Charles is 1376410274. It was assigned to this individual provider in the NPPES registry on October 23, 2025.

Where is Samara Charles located?

Samara Charles practices at 3228 N. 20th Street, Philadelphia, PA 19140. The listed phone number is (267) 880-8118.

What is Samara Charles's specialty?

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

Is Samara Charles enrolled in Medicare?

Yes. Samara Charles is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samara Charles was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.