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

Active since October 23, 2025PECOS EnrolledAccepts Medicare Assignment
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: October 25, 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, maintains a secondary practice location in Wilmington, and is a graduate of Other (2025).

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
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
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

Secondary Practice Location 1

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Samara Lyse Beatrice Charles 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 ID3173097045
PECOS Enrollment IDI20260701001751
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Samara Charles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health
1811 BETHLEHEM PIKE UNIT A102
Flourtown, PA 19031
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 10 clinicians in this Medicare group
Internal Medicine
526 N SAINT CLOUD ST # 1601
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 120 clinicians in this Medicare group
Internal Medicine
526 N SAINT CLOUD ST # 1601
Allentown, PA 18104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 152 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Samara Charles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samara Charles reassigns Medicare benefits to 3 organizations: Enspire Consulting Group-Fort Washington LLC (Flourtown, PA), Ch Specialty Services PA PC (Allentown, PA) and Curana Health Of Pennsylvania PC (Allentown, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samara Charles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 6 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.