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MS. SAMRA FAJIC ACNP
NPI 1417589052
Nurse Practitioner in Saint Louis, MO

Active since February 11, 2020PECOS EnrolledAccepts Medicare Assignment
98.46/100
CMS Quality Rating
522 N NEW BALLAS RD STE 240, SAINT LOUIS, MO 63141(314) 567-5100(314) 567-3387 Get Directions Write a Review

NPPES record last updated: October 17, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 17, 2023, Nov 15, 2021, Nov 12, 2021 and 1 more (4 updates tracked since 2020).

About Ms. Samra Fajic Acnp NPPES

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

MS. SAMRA FAJIC ACNP (NPI 1417589052) is an individual nurse practitioner in Saint Louis, Missouri, licensed in Missouri (2020004945) and active in the NPI registry since February 2020. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital St Louis, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1417589052
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. SAMRA FAJICCredential: ACNP
Location Address522 N NEW BALLAS RD STE 240Saint Louis, MO 63141-6819
Mailing Address522 N New Ballas Rd Ste 240Saint Louis, MO 63141-6819 · (314) 567-5100 · Fax (314) 362-9878
Phone(314) 567-5100
Fax(314) 567-3387
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateFebruary 11, 2020
Last NPPES UpdateOctober 17, 20234 updates tracked since enumeration
NPPES CertifiedOctober 17, 2023
✔ NPI 1417589052 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in MO · 2020004945
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License 2020004945 (MO)
522 N NEW BALLAS RD STE 240, Saint Louis, MO 63141
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Other Identifiers 1

Medicaid420081760MO

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. Samra Fajic Acnp 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 ID6305275991
PECOS Enrollment IDI20200402001444
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 2

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.

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.
199 services124 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
75 services62 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Hospital St Louis

Acute Care Hospitals · Saint Louis, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260020
Location615 New Ballas RoadSaint Louis, MO 63141 · St. Louis County
Emergency services Birthing friendly

Mercy Hospital South

Acute Care Hospitals · Saint Louis, MO
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260077
Location10010 Kennerly RoadSaint Louis, MO 63128 · St. Louis County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63141 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
$86.32 typical visit price
range $55.65 – $169.38
Typical copayment $21.58 (range $13.91 – $42.34)
Most-billed visit code 99203
Established Patient
$98.37 typical visit price
range $17.76 – $137.92
Typical copayment $24.59 (range $4.44 – $34.48)
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.

98.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.96
Improvement Activities40
Cost94.92

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ARTHRITIS CONSULTANTS INC.
Internal Medicine (Rheumatology)
522 N NEW BALLAS RD STE 240
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5100

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 Samra Fajic's NPI number?

The NPI number for Samra Fajic is 1417589052. It was assigned to this individual provider in the NPPES registry on February 11, 2020.

Where is Samra Fajic located?

Samra Fajic practices at 522 N New Ballas Rd Ste 240, Saint Louis, MO 63141. The listed phone number is (314) 567-5100.

What is Samra Fajic's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samra Fajic enrolled in Medicare?

Yes. Samra Fajic 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.

Is Samra Fajic affiliated with any hospitals?

According to CMS data, Samra Fajic is affiliated with Mercy Hospital St Louis and Mercy Hospital South.

When was this NPI record last updated?

The NPPES record for Samra Fajic was last updated on October 17, 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.