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NINCY GEORGE SAMUEL PA-C
NPI 1710352182
Physician Assistant in Fort Worth, TX

Active since December 10, 2015PECOS Enrolled
74.59/100
CMS Quality Rating
6451 BRENTWOOD STAIR RD, #200, FORT WORTH, TX 76112(817) 469-9700(817) 469-9889 Get Directions Write a Review

NPPES record last updated: December 10, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nincy George Samuel Pa-c NPPES

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

NINCY GEORGE SAMUEL PA-C (NPI 1710352182) is an individual physician assistant in Fort Worth, Texas, licensed in Texas (PA10220) and active in the NPI registry since December 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710352182
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameNINCY GEORGE SAMUELCredential: PA-C
Location Address6451 BRENTWOOD STAIR RD, #200Fort Worth, TX 76112-3200
Mailing Address1512 Ector DrCarrollton, TX 75010-6406
Phone(817) 469-9700
Fax(817) 469-9889
Sole ProprietorNo
Enumeration DateDecember 10, 2015
✔ NPI 1710352182 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TX · PA10220
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6451 BRENTWOOD STAIR RD, Fort Worth, TX 76112
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 (PECOS)

Nincy George Samuel Pa-c 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.

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
25 services25 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76112 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
$87.20 typical visit price
range $56.47 – $171.07
Typical copayment $21.80 (range $14.11 – $42.76)
Most-billed visit code 99203
Established Patient
$70.45 typical visit price
range $18.18 – $139.68
Typical copayment $17.61 (range $4.54 – $34.92)
Most-billed visit code 99213
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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

ANNA BURNS SCHROEDER MD
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE 202
FORT WORTH, TX 76112
Tarrant County (713) 858-4684
DON STEWART HARPER M.D.
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE 200
FORT WORTH, TX 76112
Tarrant County (817) 507-1770
DR. BRANDY MONTES M.D.
Emergency Medicine
6451 BRENTWOOD STAIR RD, STE 200
FORT WORTH, TX 76112
Tarrant County (817) 304-1623
CHRISTO THOMAS PHILIP MD
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE #200
FORT WORTH, TX 76112
Tarrant County (817) 496-9700
DR. LINDA MARY JOSEPH M.D.
Emergency Medicine
6451 BRENTWOOD STAIR RD, #200
FORT WORTH, TX 76112
Tarrant County (817) 507-1780
DR. DENISE PARKER MITCHELL MD
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE #200
FORT WORTH, TX 76112
Tarrant County (214) 783-3722
WELLINGTON EMERGENCY SPECIALISTS, LLC
Emergency Medicine
6451 BRENTWOOD STAIR RD, SUITE 202
FORT WORTH, TX 76112
Tarrant County (817) 451-4208
DR. MATTHEW ALLEN LAWRENCE M.D.
Emergency Medicine
6451 BRENTWOOD STAIR RD, UNIT 200
FT WORTH, TX 76112
Tarrant County (817) 496-9700

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 Nincy Samuel's NPI number?

The NPI number for Nincy Samuel is 1710352182. It was assigned to this individual provider in the NPPES registry on December 10, 2015.

Where is Nincy Samuel located?

Nincy Samuel practices at 6451 Brentwood Stair Rd #200, Fort Worth, TX 76112. The listed phone number is (817) 469-9700.

What is Nincy Samuel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Nincy Samuel enrolled in Medicare?

Yes. Nincy Samuel is registered in the Medicare PECOS enrollment system.

What insurance does Nincy Samuel accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Nincy Samuel 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 Nincy Samuel was last updated on December 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.