DR. SAMUEL A URKOV DNP, FNP-C
NPI 1669217915
Nurse Practitioner - Family in Fife, WA
About Dr. Samuel A Urkov Dnp, Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. SAMUEL A URKOV DNP, FNP-C (NPI 1669217915) is an individual family provider in Fife, Washington, licensed in Washington (AP61582086) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Tacoma, and is a graduate of Other (2024).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
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
Dr. Samuel A Urkov Dnp, 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.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Urkov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tacoma, WA 98409
- Reassigned Medicare billing, Washington enrollment
- 8 clinicians in this Medicare group
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 98424 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FIFE, WA 98424
FIFE, WA 98424
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 Samuel Urkov's NPI number?
The NPI number for Samuel Urkov is 1669217915. It was assigned to this individual provider in the NPPES registry on June 27, 2024.
Where is Samuel Urkov located?
Samuel Urkov practices at 4505 Pacific Hwy E Ste C2, Fife, WA 98424. The listed phone number is (253) 220-4635.
What is Samuel Urkov's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samuel Urkov enrolled in Medicare?
Yes. Samuel Urkov 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 Samuel Urkov's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Urkov reassigns Medicare benefits to South Puget Sound Neurology, PLLC (Tacoma, WA). 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 Samuel Urkov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Urkov accept?
Health plans from Ambetter Health, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Samuel Urkov 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.
When was this NPI record last updated?
The NPPES record for Samuel Urkov was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Samuel A Urkov, DNP, FNP-C · NPI 1669217915
Family physician in Fife, Washington. Individual provider, active in the CMS NPPES registry since June 27, 2024.
## Identity
- **NPI:** 1669217915 (Entity type: Individual)
- **Enumerated:** June 27, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** AP61582086 (Washington)
- **Sole proprietor:** No
## Practice location
- **Address:** 4505 PACIFIC HWY E STE C2, Fife, WA 98424-2638
- **Phone:** (253) 220-4635
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** South Puget Sound Neurology, PLLC (NPI 1194052357, Tacoma, WA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** August 12, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1669217915) · Data from the CMS NPPES public registry.