OSARETIN SAMSON
NPI 1740617059
Nurse Practitioner - Family in Hartford, CT

Q: What is Osaretin Samson's NPI number?

The NPI number for Osaretin Samson is 1740617059. It was assigned to this individual provider in the NPPES registry on October 1, 2013.

Q: What is Osaretin Samson'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 Osaretin Samson was last updated on July 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 01, 2013PECOS Enrolled

1000 ASYLUM AVE, HARTFORD, CT 06105(860) 714-4000 Get Directions Write a Review

NPPES record last updated: July 11, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Osaretin Samson NPPES

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

OSARETIN SAMSON (NPI 1740617059) is an individual family provider in Hartford, Connecticut, licensed in Connecticut (12.013925) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740617059

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameOSARETIN SAMSON

Location Address1000 ASYLUM AVEHartford, CT 06105-1770

Mailing Address2052 Tillotson AveBronx, NY 10475-1560 · (718) 671-2100

Phone(860) 714-4000

Sole ProprietorYes

Medical School CMSOtherGraduated 2024

Enumeration DateOctober 1, 2013

Last NPPES UpdateJuly 11, 2025

NPPES CertifiedJuly 11, 2025

✔ NPI 1740617059 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CT · 12.013925

Also ListedRegistered NurseTaxonomy 163W00000X · License 676294 (NY)

1000 ASYLUM AVE, Hartford, CT 06105

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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)

Osaretin Samson is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133629892

PECOS Enrollment IDI20250826003073

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 06105 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

$93.86 typical visit price

range $60.82 – $183.10

Typical copayment $23.46 (range $15.20 – $45.77)

Most-billed visit code 99203

Established Patient

$106.68 typical visit price

range $19.76 – $149.26

Typical copayment $26.67 (range $4.94 – $37.31)

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.