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ANNELISE CORRY EVANS SAMPLES PA-C
NPI 1619684586
Physician Assistant in North Charleston, SC

Active since November 01, 2022PECOS EnrolledAccepts Medicare Assignment
1213 REMOUNT RD STE E, NORTH CHARLESTON, SC 29406(843) 973-5415(833) 994-1101 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Mar 5, 2026, Mar 14, 2025, Dec 14, 2022 and 1 more (4 updates tracked since 2022).

About Annelise Corry Evans Samples Pa-c NPPES

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

ANNELISE CORRY EVANS SAMPLES PA-C (NPI 1619684586) is an individual physician assistant in North Charleston, South Carolina, licensed in South Carolina (4630) and active in the NPI registry since November 2022. She is enrolled in Medicare PECOS, is affiliated with Bon Secours-st Francis Xavier Hospital, and is a graduate of Medical University Of South Carolina College Of Medicine (2022).

NPPES Registry Identity

NPI1619684586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANNELISE CORRY EVANS SAMPLESCredential: PA-C
Location Address1213 REMOUNT RD STE ENorth Charleston, SC 29406-3433
Mailing Address1213 Remount Rd Ste ENorth Charleston, SC 29406-3433 · (843) 973-5415 · Fax (833) 994-1101
Phone(843) 973-5415
Fax(833) 994-1101
Sole ProprietorNo
Medical School CMSMedical University Of South Carolina College Of MedicineGraduated 2022
Enumeration DateNovember 1, 2022
Last NPPES UpdateMarch 5, 20264 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1619684586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in SC · 4630
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1213 REMOUNT RD STE E, North Charleston, SC 29406
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Annelise Corry Evans Samples Pa-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 ID5193197788
PECOS Enrollment IDI20230208000257
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 2

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

Bon Secours-St Francis Xavier Hospital

Acute Care Hospitals · Charleston, SC
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420065
Location2095 Henry Tecklenburg DriveCharleston, SC 29414 · Charleston County
Emergency services Birthing friendly

Trident Medical Center

Acute Care Hospitals · Charleston, SC
3/5 CMS rating
OwnershipProprietary
CMS Certification Number420079
Location9330 Medical Plaza DrCharleston, SC 29406 · Charleston County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29406 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
$83.18 typical visit price
range $53.57 – $163.84
Typical copayment $20.79 (range $13.39 – $40.96)
Most-billed visit code 99203
Established Patient
$67.12 typical visit price
range $16.96 – $133.52
Typical copayment $16.78 (range $4.24 – $33.38)
Most-billed visit code 99213
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 Annelise Samples's NPI number?

The NPI number for Annelise Samples is 1619684586. It was assigned to this individual provider in the NPPES registry on November 1, 2022.

Where is Annelise Samples located?

Annelise Samples practices at 1213 Remount Rd Ste E, North Charleston, SC 29406. The listed phone number is (843) 973-5415.

What is Annelise Samples's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Annelise Samples enrolled in Medicare?

Yes. Annelise Samples 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 Annelise Samples accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and InStil Health list Annelise Samples 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.

Is Annelise Samples affiliated with any hospitals?

According to CMS data, Annelise Samples is affiliated with Bon Secours-St Francis Xavier Hospital and Trident Medical Center.

When was this NPI record last updated?

The NPPES record for Annelise Samples was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.