SAMANTHA JO MCPHERSON NURSE PRACTITIONER
NPI 1457918583
Nurse Practitioner in San Diego, CA

Active since May 23, 2019PECOS EnrolledAccepts Medicare Assignment
3900 FIFTH AVE STE 110, SAN DIEGO, CA 92103(858) 544-1212 Get Directions Write a Review

NPPES record last updated: July 1, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 1, 2021, Mar 10, 2020, May 23, 2019 (3 updates tracked since 2019).

About Samantha Jo Mcpherson Nurse Practitioner NPPES

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

SAMANTHA JO MCPHERSON NURSE PRACTITIONER (NPI 1457918583) is an individual nurse practitioner in San Diego, California, licensed in California (95011848) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1457918583
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA JO MCPHERSONCredential: NURSE PRACTITIONER
Location Address3900 FIFTH AVE STE 110San Diego, CA 92103-3122
Mailing Address2800 RiachueloSan Clemente, CA 92673-4039 · (949) 303-3233
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateMay 23, 2019
Last NPPES UpdateJuly 1, 20213 updates tracked since enumeration
NPPES CertifiedJuly 1, 2021
NPI 1457918583 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in CA · 95011848
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.

3900 FIFTH AVE STE 110, San Diego, CA 92103

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

Samantha Jo Mcpherson Nurse Practitioner 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 ID9830500768
PECOS Enrollment IDI20210527001627
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
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.

Other Providers at the Same Location NPPES 11

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

Internal Medicine (Endocrinology, Diabetes & Metabolism)
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Nurse Practitioner
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Dietitian, Registered
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant (Medical)
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Physician Assistant
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
Family Medicine
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103
General Practice
3900 FIFTH AVE STE 110
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1457918583, enumerated as an "individual" on May 23, 2019.

The provider is located at 3900 FIFTH AVE STE 110 SAN DIEGO, CA 92103 and the phone number is (858) 544-1212.

Nurse Practitioner with taxonomy code 363L00000X.