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DR. NADEZDA SAMPLES DO
NPI 1376958058
General Practice in Charleston, WV

Active since June 21, 2014PECOS Enrolled
3110 MACCORKLE AVE SE RM 58, CHARLESTON, WV 25304(304) 388-9947 Get Directions Write a Review

NPPES record last updated: November 20, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nadezda Samples Do NPPES

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

DR. NADEZDA SAMPLES DO (NPI 1376958058) is an individual general practice provider in Charleston, West Virginia, licensed in New York (291755) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1376958058
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameDR. NADEZDA SAMPLESCredential: DO
Location Address3110 MACCORKLE AVE SE RM 58Charleston, WV 25304-1210
Mailing Address10 Mountain Top CirSouth Charleston, WV 25309-9642
Phone(304) 388-9947
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateJune 21, 2014
Last NPPES UpdateNovember 20, 2018
✔ NPI 1376958058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NY · 291755
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
3110 MACCORKLE AVE SE RM 58, Charleston, WV 25304
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Nadezda Samples Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204055569
PECOS Enrollment IDI20251008001913
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.

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 Nadezda Samples's NPI number?

The NPI number for Nadezda Samples is 1376958058. It was assigned to this individual provider in the NPPES registry on June 21, 2014.

Where is Nadezda Samples located?

Nadezda Samples practices at 3110 Maccorkle Ave SE Rm 58, Charleston, WV 25304. The listed phone number is (304) 388-9947.

What is Nadezda Samples's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Nadezda Samples enrolled in Medicare?

Yes. Nadezda Samples is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nadezda Samples was last updated on November 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.