MS. ALISON GOULET SAMPLE FPMHNP
NPI 1386918381
Nurse Practitioner - Psychiatric/Mental Health in Minneapolis, MN
About Ms. Alison Goulet Sample Fpmhnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. ALISON GOULET SAMPLE FPMHNP (NPI 1386918381) is an individual psychiatric/mental health provider in Minneapolis, Minnesota, licensed in Minnesota (R184366-4) and active in the NPI registry since March 2012. She is enrolled in Medicare PECOS and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses
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
Ms. Alison Goulet Sample Fpmhnp 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.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 55415 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
MINNEAPOLIS, MN 55415
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 Alison Sample's NPI number?
The NPI number for Alison Sample is 1386918381. It was assigned to this individual provider in the NPPES registry on March 8, 2012.
Where is Alison Sample located?
Alison Sample practices at 701 Park Ave, Minneapolis, MN 55415. The listed phone number is (612) 873-3000.
What is Alison Sample's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Alison Sample enrolled in Medicare?
Yes. Alison Sample 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 Alison Sample accept?
Health plans from HealthPartners list Alison Sample 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 Alison Sample was last updated on March 8, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Ms. Alison Goulet Sample, FPMHNP · NPI 1386918381
Psychiatric/Mental Health physician in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since March 8, 2012.
## Identity
- **NPI:** 1386918381 (Entity type: Individual)
- **Enumerated:** March 8, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** R184366-4 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 701 PARK AVE, Minneapolis, MN 55415-1623
- **Phone:** (612) 873-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 8, 2012
---
Source: [NPI Profile](https://npiprofile.com/npi/1386918381) · Data from the CMS NPPES public registry.