BINSEY DAWN SAM PA-C
NPI 1609489541
Physician Assistant - Medical in Lutz, FL

Active since August 29, 2020PECOS Enrolled
18560 N DALE MABRY HWY, LUTZ, FL 33548(813) 948-7734(844) 971-6901 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 23, 2025, Aug 29, 2020 (2 updates tracked since 2020).

About Binsey Dawn Sam Pa-c NPPES

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

BINSEY DAWN SAM PA-C (NPI 1609489541) is an individual medical provider in Lutz, Florida, licensed in Florida (PA9112708) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609489541
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameBINSEY DAWN SAMCredential: PA-C
Location Address18560 N DALE MABRY HWYLutz, FL 33548-7900
Mailing Address9003 Tarawynd CtOdessa, FL 33556-1724 · (321) 614-0149
Fax(844) 971-6901
Sole ProprietorNo
Enumeration DateAugust 29, 2020
Last NPPES UpdateDecember 23, 20252 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
NPI 1609489541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in FL · PA9112708
Also ListedFamily MedicineTaxonomy 207Q00000X · License PA9112708 (FL)
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License PA9112708 (FL)
18560 N DALE MABRY HWY, Lutz, FL 33548

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Binsey Dawn Sam Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 5

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

Radiologic Technologist (Sonography)
18560 N DALE MABRY HWY
LUTZ, FL 33548
Nurse Practitioner (Family)
18560 N DALE MABRY HWY
LUTZ, FL 33548
Family Medicine
18560 N DALE MABRY HWY
LUTZ, FL 33548
Family Medicine
18560 N DALE MABRY HWY
LUTZ, FL 33548
Nurse Practitioner (Family)
18560 N DALE MABRY HWY
LUTZ, FL 33548

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 Binsey Sam's NPI number?

The NPI number for Binsey Sam is 1609489541. It was assigned to this individual provider in the NPPES registry on August 29, 2020.

Where is Binsey Sam located?

Binsey Sam practices at 18560 N Dale Mabry Hwy, Lutz, FL 33548. The listed phone number is (813) 948-7734.

What is Binsey Sam's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Binsey Sam enrolled in Medicare?

Yes. Binsey Sam is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Binsey Sam was last updated on December 23, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.