MISS JENNIFER SAMUEL PMHNP-BC - NPI 1689224578 - Nurse Practitioner in Whitefish, MT

Q: What is Jennifer Samuel's NPI number?

The NPI number for Jennifer Samuel is 1689224578. It was assigned to this individual provider in the NPPES registry on September 12, 2019. The provider is also known as Jennifer Shafer Pmhnp.

Q: What is Jennifer Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Jennifer Samuel was last updated on June 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Miss Jennifer Samuel Pmhnp-bc NPPES

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

MISS JENNIFER SAMUEL PMHNP-BC (NPI 1689224578) is an individual psychiatric/mental health provider in Whitefish, Montana, licensed in Montana (213628) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in New York, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1689224578

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMISS JENNIFER SAMUELCredential: PMHNP-BC

Location Address2004 HOSPITAL WAYWhitefish, MT 59937-7858

Mailing Address517 Shady Glen Dr Apt 202Kalispell, MT 59901-6229 · (516) 343-8802

Phone(406) 862-1030

Fax(406) 862-1556

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 12, 2019

Last NPPES UpdateJune 21, 20255 updates tracked since enumeration

NPPES CertifiedJune 21, 2025

✔ NPI 1689224578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

Licenses✔ Licensed in MT · 213628✔ Licensed in OR · 10006786✔ Licensed in WA · AP61425969

Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 309303 (NY)

2004 HOSPITAL WAY, Whitefish, MT 59937

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Other Names 1

Former Name (1)Jennifer Shafer Pmhnp

Secondary Practice Location 1

Location 11111 Amsterdam AveNew York, NY 10025-1716 · Phone (212) 523-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, BridgeSpan Health Company, Mountain Health CO-OP and more.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

Miss Jennifer Samuel Pmhnp-bc 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 ID1759722754

PECOS Enrollment IDI20241120003758

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 59937 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

$87.97 typical visit price

range $56.81 – $172.26

Typical copayment $21.99 (range $14.20 – $43.06)

Most-billed visit code 99203

Established Patient

$100.16 typical visit price

range $18.24 – $140.32

Typical copayment $25.04 (range $4.56 – $35.08)

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 8

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

BTTF MEDICAL, PC

Clinic/Center (Primary Care)