LITTLE ANN SAMUEL
NPI 1609625763
Nurse Practitioner - Family in Bronx, NY

Q: What is Little Ann Samuel's NPI number?

The NPI number for Little Ann Samuel is 1609625763. It was assigned to this individual provider in the NPPES registry on May 13, 2024.

Q: What is Little Ann Samuel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Little Ann Samuel was last updated on May 13, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 13, 2024PECOS Enrolled

111 E 210TH ST, BRONX, NY 10467(718) 920-4321 Get Directions Write a Review

NPPES record last updated: May 13, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Little Ann Samuel NPPES

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

LITTLE ANN SAMUEL (NPI 1609625763) is an individual family provider in Bronx, New York, licensed in New York (F353517) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609625763

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameLITTLE ANN SAMUEL

Location Address111 E 210TH STBronx, NY 10467-2401

Mailing Address119 Manville RdPleasantville, NY 10570-2112 · (914) 806-8402

Phone(718) 920-4321

Sole ProprietorNo

Enumeration DateMay 13, 2024

NPPES CertifiedMay 13, 2024

✔ NPI 1609625763 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 NY · F353517

111 E 210TH ST, Bronx, NY 10467

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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 (PECOS)

Little Ann Samuel 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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

$105.06 typical visit price

range $67.40 – $203.53

Typical copayment $26.26 (range $16.85 – $50.88)

Most-billed visit code 99203

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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Other Providers at the Same Location NPPES 20

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

DR. MADHU SHARMA MD

Pediatrics (Pediatric Cardiology)

111 E 210TH ST, MONTEFIORE MEDICAL CENTER
BRONX, NY 10467

Bronx County (718) 741-2538

DR. AMANDA MCNEAR JACOBS M.D.

Pediatrics (Adolescent Medicine)

111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467

Bronx County (718) 920-2306

HEATHER ROOT MD

Internal Medicine (Infectious Disease)