DR. SAMUEL A URKOV DNP, FNP-C - NPI 1669217915 - Nurse Practitioner in Fife, WA

Q: 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.

Q: What is Samuel Urkov'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 Samuel Urkov was last updated on August 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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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

NPI1669217915

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. SAMUEL A URKOVCredential: DNP, FNP-C

Location Address4505 PACIFIC HWY E STE C2Fife, WA 98424-2638

Mailing Address4505 Pacific Hwy E Ste C2Fife, WA 98424-2638

Phone(253) 220-4635

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJune 27, 2024

Last NPPES UpdateAugust 12, 20259 updates tracked since enumeration

NPPES CertifiedAugust 12, 2025

✔ NPI 1669217915 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

Licenses✔ Licensed in WA · AP61582086✔ Licensed in OR · 10035560

4505 PACIFIC HWY E STE C2, Fife, WA 98424

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Secondary Practice Location 1

Location 15006 Center St Ste UTacoma, WA 98409-2314 · Phone (253) 284-4488

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.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

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.

PECOS PAC ID1254862576

PECOS Enrollment IDI20240926004410

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 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.

New Patient

$88.29 typical visit price

range $57.27 – $172.80

Typical copayment $22.07 (range $14.31 – $43.20)

Most-billed visit code 99203

Established Patient

$100.78 typical visit price

range $18.56 – $141.11

Typical copayment $25.19 (range $4.64 – $35.27)

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 5

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

MISS LOAN VU MINH PHAM DNP

Nurse Practitioner (Family)