DR. JENNIFER ANN SAMPANG PH.D, MSN
NPI 1396745899
Nurse Practitioner - Psychiatric/Mental Health in Crestview Hills, KY

Q: What is the provider's specialty?

The provider's specialty is Nurse Practitioner with taxonomy code 363LP0808X and a focus in Psychiatric/Mental Health.

Active since July 26, 2005PECOS EnrolledAccepts Medicare Assignment

90.38/100

CMS Quality Rating

334 THOMAS MORE PKWY, CRESTVIEW HILLS, KY 41017(859) 301-5901(859) 301-5940 Get Directions Write a Review

NPPES record last updated: July 13, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 13, 2023, Apr 25, 2019, Aug 31, 2018 (3 updates tracked since 2018).

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About Dr. Jennifer Ann Sampang Ph.d, Msn NPPES

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

DR. JENNIFER ANN SAMPANG PH.D, MSN (NPI 1396745899) is an individual psychiatric/mental health provider in Crestview Hills, Kentucky, licensed in Kentucky (3003731) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1396745899

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameDR. JENNIFER ANN SAMPANGCredential: PH.D, MSN

Location Address334 THOMAS MORE PKWYCrestview Hills, KY 41017-3464

Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 301-5901 · Fax (859) 301-5940

Phone(859) 301-5901

Fax(859) 301-5940

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateJuly 26, 2005

Last NPPES UpdateJuly 13, 20233 updates tracked since enumeration

NPPES CertifiedJuly 13, 2023

✔ NPI 1396745899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in KY · 3003731

Also ListedRegistered NurseTaxonomy 163W00000X · License 259097 (OH), 1098243 (KY)

Also ListedNurse PractitionerTaxonomy 363L00000X · License 3003731 (KY), NP08845 (OH)

334 THOMAS MORE PKWY, Crestview Hills, KY 41017

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Other Identifiers 3

Medicaid200827630IN

Medicaid2389571OH

Medicaid78008042KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Dr. Jennifer Ann Sampang Ph.d, Msn 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 ID2567430572

PECOS Enrollment IDI20080930000314

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.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

272 services64 patients

Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310

A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.

86 services43 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

82 services31 patients

Psychotherapy with evaluation and management visit, 45 minutes 90836

Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.

62 services25 patients

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

38 services13 patients

Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306

An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.

32 services32 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY

5/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number180035

Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41017 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

$82.24 typical visit price

range $52.76 – $162.27

Typical copayment $20.56 (range $13.19 – $40.56)

Most-billed visit code 99203

Established Patient

$93.94 typical visit price

range $16.53 – $131.99

Typical copayment $23.48 (range $4.13 – $32.99)

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.

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.

90.38/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Quality

80.76

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Colorectal Cancer Screening

Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer

57%37 patients3/55-star benchmark: 100%

Pneumococcal Vaccination Status for Older Adults

Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine

79%47 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

CINCINNATI HEALTHCARE GROUP PSC, DBA PATIENT FIRST PHYSICIANS GROUP

Family Medicine

334 THOMAS MORE PKWY, SUITE 200
CRESTVIEW HILLS, KY 41017

Kenton County (859) 957-1080

CINCINNATI HEMATOLOGY-ONCOLOGY, INC

Internal Medicine (Medical Oncology)

334 THOMAS MORE PKWY, 190
CRESTVIEW HILLS, KY 41017

Kenton County (859) 331-3304

BETH NANCY ROSEN PH.D.

Psychologist