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SHERRY MATHEW SAM
NPI 1619719960
Nurse Practitioner - Women's Health in Spring, TX

Active since June 08, 2024PECOS Enrolled
6617 FM 2920 RD, SPRING, TX 77379(346) 220-3577(281) 206-4487 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 4, 2025, Jun 10, 2024, Jun 8, 2024 (3 updates tracked since 2024).

About Sherry Mathew Sam NPPES

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

SHERRY MATHEW SAM (NPI 1619719960) is an individual women's health provider in Spring, Texas, licensed in Texas (1165935) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and maintains a secondary practice location in Spring.

NPPES Registry Identity

NPI1619719960
Entity TypeIndividualFemale
Primary Taxonomy363LW0102X
Provider Legal NameSHERRY MATHEW SAM
Location Address6617 FM 2920 RDSpring, TX 77379-2636
Mailing Address18618 Roslyn Springs DrSpring, TX 77388-1402 · (832) 353-7373 · Fax (281) 206-4487
Phone(346) 220-3577
Fax(281) 206-4487
Sole ProprietorYes
Enumeration DateJune 8, 2024
Last NPPES UpdateApril 4, 20253 updates tracked since enumeration
NPPES CertifiedApril 4, 2025
✔ NPI 1619719960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Women's HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LW0102X
License✔ Licensed in TX · 1165935
6617 FM 2920 RD, Spring, TX 77379
Open in Google Maps ↗

Secondary Practice Location 1

Location 118618 Roslyn Springs DrSpring, TX 77388-1402 · Phone (832) 353-7373

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sherry Mathew 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 Reassignments

2

Medicare enrollment records show Sherry Sam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pristine Ob-Gyn Care PLLC
7.3 mi
Medical Specialty
13523 HARGRAVE RD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 14 clinicians in this Medicare group
NPI 1346514619 (281) 206-4496
Pristine Pediatrics & Family Medicine Clinic LLC
7.3 mi
Pediatrics
13523 HARGRAVE RD
Houston, TX 77070
  • Reassigned Medicare billing, Texas enrollment
  • 12 clinicians in this Medicare group
NPI 1427521525 (281) 206-4496

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 77379 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 Sherry Sam's NPI number?

The NPI number for Sherry Sam is 1619719960. It was assigned to this individual provider in the NPPES registry on June 8, 2024.

Where is Sherry Sam located?

Sherry Sam practices at 6617 Fm 2920 Rd, Spring, TX 77379. The listed phone number is (346) 220-3577.

What is Sherry Sam's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Women's Health, with taxonomy code 363LW0102X.

Is Sherry Sam enrolled in Medicare?

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

Which organizations bill Medicare for Sherry Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sherry Sam reassigns Medicare benefits to 2 organizations: Pristine Ob-Gyn Care PLLC (Houston, TX) and Pristine Pediatrics & Family Medicine Clinic LLC (Houston, TX). Each 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 Sherry 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 Sherry Sam was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.