MIRABEL SAMA NP
NPI 1477426575
Nurse Practitioner - Family in Fort Worth, TX

Active since September 25, 2025PECOS EnrolledAccepts Medicare Assignment
546 W SEMINARY DR, FORT WORTH, TX 76115(817) 924-7978 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mirabel Sama Np NPPES

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

MIRABEL SAMA NP (NPI 1477426575) is an individual family provider in Fort Worth, Texas, licensed in Texas (1165988) and active in the NPI registry since September 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1477426575
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMIRABEL SAMACredential: NP
Location Address546 W SEMINARY DRFort Worth, TX 76115-1361
Mailing Address3456 Vista Highlands LnFort Worth, TX 76135-2100
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateSeptember 25, 2025
Last NPPES UpdateOctober 24, 2025
NPPES CertifiedSeptember 25, 2025
✔ NPI 1477426575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in TX · 1165988
546 W SEMINARY DR, Fort Worth, TX 76115

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mirabel Sama Np 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 ID8527552199
PECOS Enrollment IDI20251210004192
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.

Medicare Billing Reassignment

Medicare enrollment records show Mirabel Sama reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
546 W SEMINARY DR STE A
Fort Worth, TX 76115
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76115 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$99.68 typical visit price
range $18.18 – $139.68
Typical copayment $24.92 (range $4.54 – $34.92)
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 4

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

Dentist
546 W SEMINARY DR, SUITE # C
FORT WORTH, TX 76115
Dentist (Pediatric Dentistry)
546 W SEMINARY DR, SUITE C
FORT WORTH, TX 76115
Dentist (General Practice)
546 W SEMINARY DR, SUITE C
FORT WORTH, TX 76115
Dentist (General Practice)
546 W SEMINARY DR
FORT WORTH, TX 76115

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 Mirabel Sama's NPI number?

The NPI number for Mirabel Sama is 1477426575. It was assigned to this individual provider in the NPPES registry on September 25, 2025.

Where is Mirabel Sama located?

Mirabel Sama practices at 546 W Seminary Dr, Fort Worth, TX 76115. The listed phone number is (817) 924-7978.

What is Mirabel Sama's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Mirabel Sama enrolled in Medicare?

Yes. Mirabel Sama 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.

Which organization bills Medicare for Mirabel Sama's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirabel Sama reassigns Medicare benefits to Iberia Medical Clinic, P.A. (Fort Worth, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Mirabel Sama's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mirabel Sama accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company, UnitedHealthcare and WellPoint list Mirabel Sama 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 Mirabel Sama was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.