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JERIN SAM MSN, FNP-C
NPI 1740791300
Nurse Practitioner - Family in Humble, TX

Active since October 22, 2017PECOS Enrolled
14831 MERIDIAN PARK LN, HUMBLE, TX 77396(713) 732-4990 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 19, 2024, Oct 22, 2017 (2 updates tracked since 2017).

About Jerin Sam Msn, Fnp-c NPPES

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

JERIN SAM MSN, FNP-C (NPI 1740791300) is an individual family provider in Humble, Texas, licensed in Texas (AP134537) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740791300
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJERIN SAMCredential: MSN, FNP-C
Location Address14831 MERIDIAN PARK LNHumble, TX 77396-3972
Mailing Address14831 Meridian Park LnHumble, TX 77396-3972 · (713) 732-4990
Phone(713) 732-4990
Sole ProprietorNo
Enumeration DateOctober 22, 2017
Last NPPES UpdateSeptember 19, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1740791300 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 TX · AP134537
14831 MERIDIAN PARK LN, Humble, TX 77396
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerin Sam Msn, Fnp-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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jerin Sam reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Airline Doctors Family And Pediatric Clinics,pllc
9.7 mi
Adolescent Medicine
5990 AIRLINE DR, 160A
Houston, TX 77076
  • Reassigned Medicare billing, Texas enrollment
  • 3 clinicians in this Medicare group
NPI 1295149144 (281) 727-9094
Tmh Physician Associates PLLC
18 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389
Memorial Hermann Medical Group
41 mi
Family Medicine
6631 W CROSS CREEK BEND LN STE 200
Fulshear, TX 77441
  • Reassigned Medicare billing, Texas enrollment
  • 1,235 clinicians in this Medicare group
NPI 1003985102 (832) 658-5750

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77396 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Jerin Sam's NPI number?

The NPI number for Jerin Sam is 1740791300. It was assigned to this individual provider in the NPPES registry on October 22, 2017.

Where is Jerin Sam located?

Jerin Sam practices at 14831 Meridian Park Ln, Humble, TX 77396. The listed phone number is (713) 732-4990.

What is Jerin Sam's specialty?

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

Is Jerin Sam enrolled in Medicare?

Yes. Jerin Sam is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerin Sam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerin Sam reassigns Medicare benefits to 3 organizations: Airline Doctors Family And Pediatric Clinics,pllc (Houston, TX), Tmh Physician Associates PLLC (Houston, TX) and Memorial Hermann Medical Group (Fulshear, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jerin Sam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jerin Sam accept?

Health plans from Oscar Insurance Company and WellPoint list Jerin 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 Jerin Sam was last updated on September 19, 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.