SAMUEL JENSEN
NPI 1386346336
Student in an Organized Health Care Education/Training Program in Goodyear, AZ

Q: What is the provider's specialty?

The provider's specialty is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Active since March 21, 2023PECOS Enrolled

13677 W MCDOWELL RD, GOODYEAR, AZ 85395(623) 882-1500 Get Directions Write a Review

NPPES record last updated: March 21, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Samuel Jensen NPPES

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

SAMUEL JENSEN (NPI 1386346336) is an individual student in an organized health care education/training program in Goodyear, Arizona and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1386346336

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL JENSEN

Location Address13677 W MCDOWELL RDGoodyear, AZ 85395-2635

Mailing Address120 S 31st Ave Apt 5312Omaha, NE 68131-1483

Phone(623) 882-1500

Sole ProprietorNo

Enumeration DateMarch 21, 2023

NPPES CertifiedMarch 21, 2023

✔ NPI 1386346336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

13677 W MCDOWELL RD, Goodyear, AZ 85395

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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)

Samuel Jensen 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.