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SAMUEL JAMES PEICKERT DNP-C
NPI 1609619899
Nurse Practitioner in Greensboro, NC

Active since June 14, 2024PECOS EnrolledAccepts Medicare Assignment
301 E WENDOVER AVE STE 411, GREENSBORO, NC 27401(336) 832-3210(336) 890-5523 Get Directions Write a Review

NPPES record last updated: April 17, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 17, 2026, Jun 14, 2024 (2 updates tracked since 2024).

About Samuel James Peickert Dnp-c NPPES

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

SAMUEL JAMES PEICKERT DNP-C (NPI 1609619899) is an individual nurse practitioner in Greensboro, North Carolina, licensed in North Carolina (5022960) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Alamance Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1609619899
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameSAMUEL JAMES PEICKERTCredential: DNP-C
Location Address301 E WENDOVER AVE STE 411Greensboro, NC 27401-1211
Mailing Address4300 Quail Canyon CtGreensboro, NC 27410-9091 · (336) 601-1012
Phone(336) 832-3210
Fax(336) 890-5523
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateJune 14, 2024
Last NPPES UpdateApril 17, 20262 updates tracked since enumeration
NPPES CertifiedApril 17, 2026
✔ NPI 1609619899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 5022960
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.
Also ListedRegistered NurseTaxonomy 163W00000X · License ROAX34E4 (NC)
301 E WENDOVER AVE STE 411, Greensboro, NC 27401
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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

Samuel James Peickert Dnp-c 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 ID345732194
PECOS Enrollment IDI20251119005126
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Alamance Regional Medical Center

Acute Care Hospitals · Burlington, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340070
Location1240 Huffman Mill RdBurlington, NC 27216 · Alamance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27401 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

MYRON RODDENBERRY PA
Physician Assistant
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3200
BAILEY STEHLER CHAMBERS PA-C
Physician Assistant (Surgical)
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3200
TESSA CONTE PA-C
Physician Assistant
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3200
DR. HARRELL LIGHTFOOT MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
301 E WENDOVER AVE STE 411
GREENSBORO, NC 27401
Guilford County (336) 832-3200

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 Samuel Peickert's NPI number?

The NPI number for Samuel Peickert is 1609619899. It was assigned to this individual provider in the NPPES registry on June 14, 2024.

Where is Samuel Peickert located?

Samuel Peickert practices at 301 E Wendover Ave Ste 411, Greensboro, NC 27401. The listed phone number is (336) 832-3210.

What is Samuel Peickert's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samuel Peickert enrolled in Medicare?

Yes. Samuel Peickert 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.

Is Samuel Peickert affiliated with any hospitals?

According to CMS data, Samuel Peickert is affiliated with Alamance Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Samuel Peickert was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.