SAMANTHA EBERT FNP-C
NPI 1639834492
Nurse Practitioner - Family in Chesapeake, VA

Q: What is Samantha Ebert's NPI number?

The NPI number for Samantha Ebert is 1639834492. It was assigned to this individual provider in the NPPES registry on November 5, 2021.

Q: What is Samantha Ebert'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 Samantha Ebert was last updated on June 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since November 05, 2021PECOS Enrolled

612 KINGSBOROUGH SQ STE 100, CHESAPEAKE, VA 23320(757) 547-9294(757) 213-9345 Get Directions Write a Review

NPPES record last updated: June 16, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jun 3, 2026, Nov 5, 2021 (2 updates tracked since 2021).

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About Samantha Ebert Fnp-c NPPES

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

SAMANTHA EBERT FNP-C (NPI 1639834492) is an individual family provider in Chesapeake, Virginia, licensed in Virginia (0024197789) and active in the NPI registry since November 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639834492

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA EBERTCredential: FNP-C

Location Address612 KINGSBOROUGH SQ STE 100Chesapeake, VA 23320-5041

Mailing Address901 Bowling Green TrlChesapeake, VA 23320-3111 · (949) 690-0638

Phone(757) 547-9294

Fax(757) 213-9345

Sole ProprietorNo

Enumeration DateNovember 5, 2021

Last NPPES UpdateJune 16, 20262 updates tracked since enumeration

NPPES CertifiedJune 16, 2026

✔ NPI 1639834492 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 VA · 0024197789

612 KINGSBOROUGH SQ STE 100, Chesapeake, VA 23320

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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)

Samantha Ebert Fnp-c 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 23320 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

$86.88 typical visit price

range $56.19 – $170.30

Typical copayment $21.72 (range $14.04 – $42.57)

Most-billed visit code 99203

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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 9

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

COLLEEN RITA QUICK PA-C

Physician Assistant