MR. SAMSON EBHO OSEBOR RN
NPI 1578298907
Nurse Practitioner - Psychiatric/Mental Health in Waltham, MA

Active since July 20, 2022PECOS EnrolledAccepts Medicare Assignment
240 BEAR HILL RD STE 104, WALTHAM, MA 02451(617) 340-3559 Get Directions Write a Review

NPPES record last updated: March 11, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Mr. Samson Ebho Osebor Rn NPPES

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

MR. SAMSON EBHO OSEBOR RN (NPI 1578298907) is an individual psychiatric/mental health provider in Waltham, Massachusetts, licensed in Massachusetts (RN2311226) and active in the NPI registry since July 2022. He is enrolled in Medicare PECOS, maintains a secondary practice location in Weston, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1578298907
Entity TypeIndividualMale
Primary Taxonomy363LP0808X
Provider Legal NameMR. SAMSON EBHO OSEBORCredential: RN
Location Address240 BEAR HILL RD STE 104Waltham, MA 02451-1026
Mailing Address667 Main St Apt 29Woburn, MA 01801-2377 · (781) 249-8007
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 20, 2022
Last NPPES UpdateMarch 11, 2024
NPPES CertifiedMarch 11, 2024
NPI 1578298907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in MA · RN2311226
Also ListedRegistered NurseTaxonomy 163W00000X · License RN2311226 (MA)
240 BEAR HILL RD STE 104, Waltham, MA 02451

Secondary Practice Location 1

Location 1235 Wellesley St Ste 1Weston, MA 02493-1571 · Phone (781) 768-7000

Other Identifiers 1

OtherS92075712MA · Driver License

Accepted 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

Mr. Samson Ebho Osebor Rn 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 ID648717058
PECOS Enrollment IDI20240802002654
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 02451 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
$97.64 typical visit price
range $63.72 – $189.86
Typical copayment $24.41 (range $15.93 – $47.46)
Most-billed visit code 99203
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 3

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

Nurse Practitioner (Psychiatric/Mental Health)
240 BEAR HILL RD STE 104
WALTHAM, MA 02451
Clinical Nurse Specialist (Psychiatric/Mental Health)
240 BEAR HILL RD STE 104
WALTHAM, MA 02451
Nurse Practitioner (Psychiatric/Mental Health)
240 BEAR HILL RD STE 104
WALTHAM, MA 02451

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 Samson Osebor's NPI number?

The NPI number for Samson Osebor is 1578298907. It was assigned to this individual provider in the NPPES registry on July 20, 2022.

Where is Samson Osebor located?

Samson Osebor practices at 240 Bear Hill Rd Ste 104, Waltham, MA 02451. The listed phone number is (617) 340-3559.

What is Samson Osebor's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samson Osebor enrolled in Medicare?

Yes. Samson Osebor 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.

What insurance does Samson Osebor accept?

Health plans from Anthem Blue Cross and Blue Shield, Harvard Pilgrim Health Care and Providence Health Plan list Samson Osebor 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 Samson Osebor was last updated on March 11, 2024. 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.