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

Active since November 05, 2021PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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

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 and is a graduate of Other (2026).

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
Medical School CMSOtherGraduated 2026
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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Ebert Fnp-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 ID4284192824
PECOS Enrollment IDI20260814000853
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 Samantha Ebert reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Bayview Physician Services, PC
12 mi
Family Medicine
3241 WESTERN BRANCH BLVD
Chesapeake, VA 23321
  • Reassigned Medicare billing, Virginia enrollment
  • 570 clinicians in this Medicare group
NPI 1508813387 (757) 686-3508

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 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
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294
LINDSEY LOCKWOOD NP
Nurse Practitioner
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294
AMY M CLEMENTS NP
Nurse Practitioner
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294
TAMARA S IVANOVA NP
Nurse Practitioner
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294
DALIA FRASCA NP
Nurse Practitioner
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 609-3380
ERIN SUN PA-C
Physician Assistant (Medical)
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294
MOHSIN CHOWDHURY M.D.
Internal Medicine (Interventional Cardiology)
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294
DOMINICK A RUGGIERO PA-C
Physician Assistant
612 KINGSBOROUGH SQ STE 100
CHESAPEAKE, VA 23320
Chesapeake City (757) 547-9294

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 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.

Where is Samantha Ebert located?

Samantha Ebert practices at 612 Kingsborough Sq Ste 100, Chesapeake, VA 23320. The listed phone number is (757) 547-9294.

What is Samantha Ebert's specialty?

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

Is Samantha Ebert enrolled in Medicare?

Yes. Samantha Ebert 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.

Which organization bills Medicare for Samantha Ebert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Ebert reassigns Medicare benefits to Bayview Physician Services, PC (Chesapeake, VA). 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 Samantha Ebert'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 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 4 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.