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ASHBY SAM
NPI 1619598356
Nurse Practitioner - Family in East Meadow, NY

Active since May 05, 2020PECOS Enrolled
111 AYLWOOD DR, EAST MEADOW, NY 11554(516) 728-7796 Get Directions Write a Review

NPPES record last updated: May 5, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ashby Sam NPPES

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

ASHBY SAM (NPI 1619598356) is an individual family provider in East Meadow, New York, licensed in New York (F344107-1) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619598356
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameASHBY SAM
Location Address111 AYLWOOD DREast Meadow, NY 11554-1426
Mailing Address111 Aylwood DrEast Meadow, NY 11554-1426 · (516) 728-7796
Phone(516) 728-7796
Sole ProprietorNo
Enumeration DateMay 5, 2020
NPPES CertifiedMay 5, 2020
✔ NPI 1619598356 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 · F344107-1
111 AYLWOOD DR, East Meadow, NY 11554
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ashby Sam 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.

Medicare Billing Reassignment

Medicare enrollment records show Ashby Sam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Medical Care, P.C.
34 mi
Cardiovascular Disease
90 SOUTH BEDFORD RD, MT KISCO MEDICAL GROUP PC
Mount Kisco, NY 10549
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Optum Medical Care PC
  • 1,601 clinicians in this Medicare group
NPI 1982643003 (914) 241-1050

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 11554 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.

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 Ashby Sam's NPI number?

The NPI number for Ashby Sam is 1619598356. It was assigned to this individual provider in the NPPES registry on May 5, 2020.

Where is Ashby Sam located?

Ashby Sam practices at 111 Aylwood Dr, East Meadow, NY 11554. The listed phone number is (516) 728-7796.

What is Ashby Sam's specialty?

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

Is Ashby Sam enrolled in Medicare?

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

Which organization bills Medicare for Ashby Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashby Sam reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Ashby Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ashby Sam was last updated on May 5, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.