MRS. JEUELLE M OTTLEY SAM PA-C
NPI 1740341924
Physician Assistant in Takoma Park, MD

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
7610 CARROLL AVE, SUITE 200, TAKOMA PARK, MD 20912(301) 891-2077(301) 891-2080 Get Directions Write a Review

NPPES record last updated: March 5, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Jeuelle M Ottley Sam Pa-c NPPES

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

MRS. JEUELLE M OTTLEY SAM PA-C (NPI 1740341924) is an individual physician assistant in Takoma Park, Maryland, licensed in Maryland (C0002743) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1740341924
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. JEUELLE M OTTLEY SAMCredential: PA-C
Location Address7610 CARROLL AVE, SUITE 200Takoma Park, MD 20912-6384
Mailing Address6 Park Center Ct, Ste 210Owings Mills, MD 21117-5604 · (443) 953-8922 · Fax (855) 955-1334
Fax(301) 891-2080
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 12, 2006
Last NPPES UpdateMarch 5, 2021
NPPES CertifiedMarch 5, 2021
NPI 1740341924 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 MD · C0002743
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.

7610 CARROLL AVE, Takoma Park, MD 20912

Accepted 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

Mrs. Jeuelle M Ottley Sam Pa-c 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 ID7315367216
PECOS Enrollment IDI20211217000166
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 20912 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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.

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.

Internal Medicine
7610 CARROLL AVE, STE 280
TAKOMA PARK, MD 20912
Internal Medicine (Nephrology)
7610 CARROLL AVE, SUITE 480
TAKOMA PARK, MD 20912
Orthopaedic Surgery
7610 CARROLL AVE, 470
TAKOMA PARK, MD 20912
Internal Medicine (Pulmonary Disease)
7610 CARROLL AVE, #360
TAKOMA PARK, MD 20912
Internal Medicine (Gastroenterology)
7610 CARROLL AVE, STE. 230
TAKOMA PARK, MD 20912
Surgery
7610 CARROLL AVE, SUITE 270
TAKOMA PARK, MD 20912
Surgery
7610 CARROLL AVE, SUITE 270
TAKOMA PARK, MD 20912
Nurse Practitioner (Family)
7610 CARROLL AVE, SUITE 280
TAKOMA PARK, MD 20912

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 Jeuelle Ottley Sam's NPI number?

The NPI number for Jeuelle Ottley Sam is 1740341924. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Jeuelle Ottley Sam located?

Jeuelle Ottley Sam practices at 7610 Carroll Ave Suite 200, Takoma Park, MD 20912. The listed phone number is (301) 891-2077.

What is Jeuelle Ottley Sam's specialty?

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

Is Jeuelle Ottley Sam enrolled in Medicare?

Yes. Jeuelle Ottley Sam 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 Jeuelle Ottley Sam accept?

Health plans from Providence Health Plan and UnitedHealthcare list Jeuelle Ottley Sam 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 Jeuelle Ottley Sam was last updated on March 5, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.