JAINE SAMUEL
NPI 1700129681
Nurse Practitioner - Family in Atlanta, GA

Q: What is Jaine Samuel's NPI number?

The NPI number for Jaine Samuel is 1700129681. It was assigned to this individual provider in the NPPES registry on March 29, 2013.

Q: What is Jaine Samuel'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 Jaine Samuel was last updated on July 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 March 29, 2013PECOS EnrolledAccepts Medicare Assignment

94.05/100

CMS Quality Rating

865 N HIGHLAND AVE NE, ATLANTA, GA 30306(404) 733-6089 Get Directions Write a Review

NPPES record last updated: July 15, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 15, 2018, Jun 21, 2018, Apr 23, 2018 (3 updates tracked since 2018).

On this page

About Jaine Samuel NPPES

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

JAINE SAMUEL (NPI 1700129681) is an individual family provider in Atlanta, Georgia, licensed in Georgia (RN275872) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wesley Chapel, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1700129681

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJAINE SAMUEL

Location Address865 N HIGHLAND AVE NEAtlanta, GA 30306

Mailing Address865 N Highland Ave NeAtlanta, GA 30306-4565 · (404) 733-6089

Phone(404) 733-6089

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateMarch 29, 2013

Last NPPES UpdateJuly 15, 20183 updates tracked since enumeration

✔ NPI 1700129681 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 GA · RN275872

865 N HIGHLAND AVE NE, Atlanta, GA 30306

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Secondary Practice Location 1

Location 12106 Ashley Oaks CirWesley Chapel, FL 33544-6417 · Phone (813) 347-9455

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

Jaine Samuel 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 ID4183973241

PECOS Enrollment IDI20180822002350

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

28 services25 patients

Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635

This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30306 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

$88.06 typical visit price

range $56.84 – $172.43

Typical copayment $22.01 (range $14.21 – $43.10)

Most-billed visit code 99203

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

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.

94.05/100

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

Scored as part of a group practice

Promoting Interoperability

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.

MRS. SARA RUTH BENNETT FNP-BC

Nurse Practitioner (Family)