DR. SAMUEL S WILBURN DNP, AGNP
NPI 1396355327
Nurse Practitioner - Adult Health in Philadelphia, PA
About Dr. Samuel S Wilburn Dnp, Agnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL S WILBURN DNP, AGNP (NPI 1396355327) is an individual adult health provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP022592) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2020).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. Samuel S Wilburn Dnp, Agnp 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19147 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19147
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 Samuel Wilburn's NPI number?
The NPI number for Samuel Wilburn is 1396355327. It was assigned to this individual provider in the NPPES registry on August 4, 2020.
Where is Samuel Wilburn located?
Samuel Wilburn practices at 1348 Bainbridge St, Philadelphia, PA 19147. The listed phone number is (215) 563-0657.
What is Samuel Wilburn's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Samuel Wilburn enrolled in Medicare?
Yes. Samuel Wilburn 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.
When was this NPI record last updated?
The NPPES record for Samuel Wilburn was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Samuel S Wilburn, DNP, AGNP · NPI 1396355327
Adult Health physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since August 4, 2020.
## Identity
- **NPI:** 1396355327 (Entity type: Individual)
- **Enumerated:** August 4, 2020
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** SP022592 (Pennsylvania)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1348 BAINBRIDGE ST, Philadelphia, PA 19147-1810
- **Phone:** (215) 563-0657
## 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 2020
## Record status
- **NPPES last updated:** December 4, 2023
- **Other identifiers:** Other SP022592 (PA); Other 309784 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1396355327) · Data from the CMS NPPES public registry.