JUDITH SAWAYA SAMPSON APRN
NPI 1538112214
Nurse Practitioner - Family in Salt Lake City, UT

Active since May 17, 2006PECOS EnrolledAccepts Medicare Assignment
3215 VALLEY ST, SALT LAKE CITY, UT 84109(801) 466-3102(801) 466-3576 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Judith Sawaya Sampson Aprn NPPES

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

JUDITH SAWAYA SAMPSON APRN (NPI 1538112214) is an individual family provider in Salt Lake City, Utah, licensed in Utah (2173224405) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1538112214
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJUDITH SAWAYA SAMPSONCredential: APRN
Location Address3215 VALLEY STSalt Lake City, UT 84109-4217
Mailing Address1225 Fort Union Blvd, Suite 200Midvale, UT 84047-1889 · (801) 233-4400 · Fax (801) 233-4410
Fax(801) 466-3576
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1538112214 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 UT · 2173224405
3215 VALLEY ST, Salt Lake City, UT 84109

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

Judith Sawaya Sampson Aprn 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 ID4789667429
PECOS Enrollment IDI20040611001201, I20251212000197
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 Reassignments

3

Medicare enrollment records show Judith Sampson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Health
3215 VALLEY ST
Salt Lake City, UT 84109
  • Reassigned Medicare billing, Utah enrollment
  • 1,729 clinicians in this Medicare group
Pain Medicine
279 E 5900 S STE 201
Murray, UT 84107
  • Reassigned Medicare billing, Utah enrollment
  • 2 clinicians in this Medicare group
Family Medicine
2503 FORESIGHT CIR
Grand Junction, CO 81505
  • Reassigned Medicare billing, Colorado enrollment
  • 438 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 84109 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
$84.41 typical visit price
range $54.34 – $166.03
Typical copayment $21.10 (range $13.58 – $41.50)
Most-billed visit code 99203
Established Patient
$96.35 typical visit price
range $17.23 – $135.20
Typical copayment $24.08 (range $4.30 – $33.80)
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.

Nurse Practitioner (Family)
3215 VALLEY ST
SALT LAKE CITY, UT 84109
Nurse Practitioner (Family)
3215 VALLEY ST
SALT LAKE CITY, UT 84109
Registered Nurse (Community Health)
3215 VALLEY ST
SALT LAKE CITY, UT 84109
Clinic/Center (Primary Care)
3215 VALLEY ST
SALT LAKE CITY, UT 84109

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 Judith Sampson's NPI number?

The NPI number for Judith Sampson is 1538112214. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Judith Sampson located?

Judith Sampson practices at 3215 Valley St, Salt Lake City, UT 84109. The listed phone number is (801) 466-3102.

What is Judith Sampson's specialty?

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

Is Judith Sampson enrolled in Medicare?

Yes. Judith Sampson 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 organizations bill Medicare for Judith Sampson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Judith Sampson reassigns Medicare benefits to 3 organizations: Ihc Health Services Inc (Salt Lake City, UT), Olympus Spine And Pain (Murray, UT) and Intermountain Medical Group Grand Junction, LLC (Grand Junction, CO). Each 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 Judith Sampson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Judith Sampson accept?

Health plans from BridgeSpan Health Company, Regence BlueCross BlueShield of Utah and Select Health list Judith Sampson 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 Judith Sampson was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.