DR. JESSE JORDAN SAMPLES DO
NPI 1699202192
Student in an Organized Health Care Education/Training Program in Jackson, MI

Q: What is Jesse Samples's NPI number?

The NPI number for Jesse Samples is 1699202192. It was assigned to this individual provider in the NPPES registry on May 15, 2017.

Q: What is Jesse Samples's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Samples was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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 May 15, 2017PECOS Enrolled

67.15/100

CMS Quality Rating

205 N EAST AVE, JACKSON, MI 49201(517) 205-7060(517) 205-7050 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 21, 2022, May 15, 2017 (2 updates tracked since 2017).

On this page

About Dr. Jesse Jordan Samples Do NPPES

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

DR. JESSE JORDAN SAMPLES DO (NPI 1699202192) is an individual student in an organized health care education/training program in Jackson, Michigan and active in the NPI registry since May 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1699202192

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JESSE JORDAN SAMPLESCredential: DO

Location Address205 N EAST AVEJackson, MI 49201-1753

Mailing Address205 N East AveJackson, MI 49201-1753 · (517) 205-7060 · Fax (517) 205-7050

Phone(517) 205-7060

Fax(517) 205-7050

Sole ProprietorNo

Enumeration DateMay 15, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1699202192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

205 N EAST AVE, Jackson, MI 49201

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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)

Dr. Jesse Jordan Samples Do 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

67.15/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

61.35

Improvement Activities

Other Providers at the Same Location NPPES 20

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

SAMANTHA RENE DANEK PA-C

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