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SIA SAM-SUMANA
NPI 1740026483
Nurse Practitioner - Family in Fayetteville, NC

Active since July 02, 2024PECOS EnrolledAccepts Medicare Assignment
3616 CAPE CENTER DR STE A, FAYETTEVILLE, NC 28304(910) 779-0780 Get Directions Write a Review

NPPES record last updated: July 2, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sia Sam-sumana NPPES

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

SIA SAM-SUMANA (NPI 1740026483) is an individual family provider in Fayetteville, North Carolina, licensed in North Carolina (5020304) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS, is affiliated with Unc Health Wayne, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1740026483
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSIA SAM-SUMANA
Location Address3616 CAPE CENTER DR STE AFayetteville, NC 28304-4456
Mailing Address29 Castello WayClayton, NC 27527-5429
Phone(910) 779-0780
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 2, 2024
NPPES CertifiedJuly 2, 2024
✔ NPI 1740026483 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 NC · 5020304
3616 CAPE CENTER DR STE A, Fayetteville, NC 28304
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee 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

Sia Sam-sumana 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 ID2365981222
PECOS Enrollment IDI20240823001914
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Unc Health Wayne

Acute Care Hospitals · Goldsboro, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340010
Location2700 Wayne Memorial DrGoldsboro, NC 27534 · Wayne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28304 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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

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

ABIMBOLA A OGUNLEYE-KOLAWOLE DNP, FNP-C
Nurse Practitioner (Family)
3616 CAPE CENTER DR STE A
FAYETTEVILLE, NC 28304
Cumberland County (910) 779-0780

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 Sia Sam-sumana's NPI number?

The NPI number for Sia Sam-sumana is 1740026483. It was assigned to this individual provider in the NPPES registry on July 2, 2024.

Where is Sia Sam-sumana located?

Sia Sam-sumana practices at 3616 Cape Center Dr Ste A, Fayetteville, NC 28304. The listed phone number is (910) 779-0780.

What is Sia Sam-sumana's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Sia Sam-sumana enrolled in Medicare?

Yes. Sia Sam-sumana is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sia Sam-sumana accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee, Blue Cross and Blue Shield of NC and UnitedHealthcare list Sia Sam-sumana 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.

Is Sia Sam-sumana affiliated with any hospitals?

According to CMS data, Sia Sam-sumana is affiliated with Unc Health Wayne.

When was this NPI record last updated?

The NPPES record for Sia Sam-sumana was last updated on July 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.