MRS. AMY ROBINSON SAMPLES PA-C
NPI 1376816587
Physician Assistant in Bismarck, ND

Active since February 17, 2012PECOS EnrolledAccepts Medicare Assignment
79.63/100
CMS Quality Rating
900 E BROADWAY AVE, BISMARCK, ND 58501(701) 530-7000 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mrs. Amy Robinson Samples Pa-c NPPES

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

MRS. AMY ROBINSON SAMPLES PA-C (NPI 1376816587) is an individual physician assistant in Bismarck, North Dakota, licensed in North Dakota (PAC0476) and active in the NPI registry since February 2012. She is enrolled in Medicare PECOS, is affiliated with Chi St Alexius Health, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376816587
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. AMY ROBINSON SAMPLESCredential: PA-C
Location Address900 E BROADWAY AVEBismarck, ND 58501
Mailing Address33 9th St WDickinson, ND 58601-3950 · (701) 483-6017 · Fax (701) 483-5018
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 17, 2012
Last NPPES UpdateMay 15, 2018
NPI 1376816587 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in ND · PAC0476
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 E BROADWAY AVE, Bismarck, ND 58501

Other Names 1

Other Name (5)Amy Larissa Robinson Samples Pa-c

Other Identifiers 2

OtherN725092ND · Medicare
Medicaid1452473ND

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

Mrs. Amy Robinson Samples Pa-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 ID4183882657
PECOS Enrollment IDI20120301000272
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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
193 services87 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
64 services50 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
61 services42 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
32 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
19 services15 patients

Hospital Affiliations CMS Care Compare

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

Chi St Alexius Health

Acute Care Hospitals · Bismarck, ND
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number350002
Location900 E BroadwayBismarck, ND 58501 · Burleigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 58501 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
$85.71 typical visit price
range $55.75 – $168.12
Typical copayment $21.42 (range $13.93 – $42.03)
Most-billed visit code 99203
Established Patient
$69.48 typical visit price
range $18.11 – $137.65
Typical copayment $17.37 (range $4.52 – $34.41)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.03
Promoting Interoperability78
Improvement Activities40
Cost74.42

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
5 suppliers17 claims216 services$19.15 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
5 suppliers16 claims520 services$2.39 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
23 suppliers85 claims189 services$5.90 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers18 claims22 services$0.77 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers28 claims28 services$312.28 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
5 suppliers25 claims1,820 services$6.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Internal Medicine
900 E BROADWAY AVE
BISMARCK, ND 58501
Anesthesiology
900 E BROADWAY AVE
BISMARCK, ND 58501
Radiology (Diagnostic Radiology)
900 E BROADWAY AVE
BISMARCK, ND 58501
Nurse Practitioner
900 E BROADWAY AVE
BISMARCK, ND 58501
Psychologist
900 E BROADWAY AVE
BISMARCK, ND 58501
Pediatrics
900 E BROADWAY AVE
BISMARCK, ND 58501
Nurse Anesthetist, Certified Registered
900 E BROADWAY AVE
BISMARCK, ND 58501
Internal Medicine
900 E BROADWAY AVE
BISMARCK, ND 58501

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 Amy Samples's NPI number?

The NPI number for Amy Samples is 1376816587. It was assigned to this individual provider in the NPPES registry on February 17, 2012. The provider is also known as Amy Larissa Robinson Samples Pa-C.

Where is Amy Samples located?

Amy Samples practices at 900 E Broadway Ave, Bismarck, ND 58501. The listed phone number is (701) 530-7000.

What is Amy Samples's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Amy Samples enrolled in Medicare?

Yes. Amy Samples 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 Amy Samples accept?

Health plans from Blue Cross Blue Shield of North Dakota and Medica list Amy Samples 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.

Is Amy Samples affiliated with any hospitals?

According to CMS data, Amy Samples is affiliated with Chi St Alexius Health.

When was this NPI record last updated?

The NPPES record for Amy Samples was last updated on May 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.