SHAQUITA SAMPSON
NPI 1376948075
Nurse Practitioner - Family in Jackson, MS

Active since October 24, 2014PECOS EnrolledAccepts Medicare Assignment
1134 WINTER ST, JACKSON, MS 39204(601) 948-5572 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaquita Sampson NPPES

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

SHAQUITA SAMPSON (NPI 1376948075) is an individual family provider in Jackson, Mississippi, licensed in Mississippi (RN884677) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376948075
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSHAQUITA SAMPSON
Location Address1134 WINTER STJackson, MS 39204-2841
Mailing Address559 Heatherwood DrJackson, MS 39212-4707 · (769) 262-7650
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 24, 2014
Last NPPES UpdateDecember 3, 2024
NPPES CertifiedDecember 3, 2024
NPI 1376948075 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
License Licensed in MS · RN884677
1134 WINTER ST, Jackson, MS 39204

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

Shaquita Sampson 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 ID8022396936
PECOS Enrollment IDI20161027002050
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 39204 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 16

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

Clinic/Center (Federally Qualified Health Center (FQHC))
1134 WINTER ST
JACKSON, MS 39204
Family Medicine (Adult Medicine)
1134 WINTER ST
JACKSON, MS 39204
Internal Medicine
1134 WINTER ST
JACKSON, MS 39204
Family Medicine
1134 WINTER ST
JACKSON, MS 39204
Obstetrics & Gynecology
1134 WINTER ST
JACKSON, MS 39204
Family Medicine
1134 WINTER ST
JACKSON, MS 39204
Clinic/Center (Federally Qualified Health Center (FQHC))
1134 WINTER ST
JACKSON, MS 39204
Physician Assistant
1134 WINTER ST
JACKSON, MS 39204

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 Shaquita Sampson's NPI number?

The NPI number for Shaquita Sampson is 1376948075. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Shaquita Sampson located?

Shaquita Sampson practices at 1134 Winter St, Jackson, MS 39204. The listed phone number is (601) 948-5572.

What is Shaquita Sampson's specialty?

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

Is Shaquita Sampson enrolled in Medicare?

Yes. Shaquita Sampson 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 Shaquita Sampson accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Magnolia Health, Ambetter of Alabama and Ambetter of Tennessee and 2 other insurers list Shaquita Sampson 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 Shaquita Sampson was last updated on December 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.