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JESSICA JOY MALONZO SAMSON APRN
NPI 1770146979
Nurse Practitioner - Family in Louisville, KY

Active since April 15, 2019PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1930 BISHOP LN FL 12, LOUISVILLE, KY 40218(502) 272-5220(502) 272-5117 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2026, Dec 2, 2021, Apr 15, 2019 (3 updates tracked since 2019).

About Jessica Joy Malonzo Samson Aprn NPPES

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

JESSICA JOY MALONZO SAMSON APRN (NPI 1770146979) is an individual family provider in Louisville, Kentucky, licensed in Kentucky (3012448) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1770146979
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameJESSICA JOY MALONZO SAMSONCredential: APRN
Location Address1930 BISHOP LN FL 12Louisville, KY 40218-1921
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Phone(502) 272-5220
Fax(502) 272-5117
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 15, 2019
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
✔ NPI 1770146979 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 KY · 3012448
1930 BISHOP LN FL 12, Louisville, KY 40218
Open in Google Maps ↗

Other Identifiers 3

Other3012448KY · License
Medicaid7100589690KY
Other71009170AIN · License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Joy Malonzo Samson Aprn 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 ID244572717
PECOS Enrollment IDI20190502001375, I20190812001667
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 Jessica Joy Samson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
0.2 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Indiana and Kentucky enrollments
  • 465 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Kiosk Medicine Kentucky LLC
3.3 mi
Family
3039 BRECKENRIDGE LN
Louisville, KY 40220
  • Reassigned Medicare billing, Kentucky enrollment
  • 488 clinicians in this Medicare group
NPI 1205885035 (502) 451-4555
Little Clinic Of In LLC
14 mi
Family
815 HIGHLANDER POINT DR
Floyds Knobs, IN 47119
  • Reassigned Medicare billing, Indiana enrollment
  • 165 clinicians in this Medicare group
NPI 1558791384 (812) 923-7146

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

Areas of Expertise CMS Part B claims

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 40218 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

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.

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

Other Providers at the Same Location NPPES 11

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

AMANDA DANIELLE SACCONE APRN
Nurse Practitioner
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
DR. AMANDA B HICKS DNP, APRN, FNP-C
Nurse Practitioner (Family)
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
TIFFANY M. AMBURGEY APRN
Nurse Practitioner (Family)
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
KASIE HOOVER
Nurse Practitioner (Family)
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
TIFFANY MARIE GARDNER NP-C
Nurse Practitioner (Family)
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
TARA KESTLER NP-C
Nurse Practitioner (Family)
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
KRISTIN BAISCH
Nurse Practitioner
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 272-5220
ANDREA MARIE THOMAS APRN
Nurse Practitioner (Family)
1930 BISHOP LN FL 12
LOUISVILLE, KY 40218
Jefferson County (502) 456-6200

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 Jessica Joy Samson's NPI number?

The NPI number for Jessica Joy Samson is 1770146979. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Jessica Joy Samson located?

Jessica Joy Samson practices at 1930 Bishop Ln Fl 12, Louisville, KY 40218. The listed phone number is (502) 272-5220.

What is Jessica Joy Samson's specialty?

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

Is Jessica Joy Samson enrolled in Medicare?

Yes. Jessica Joy Samson 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.

Which organizations bill Medicare for Jessica Joy Samson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Joy Samson reassigns Medicare benefits to 3 organizations: Community Medical Associates, Inc. (Louisville, KY), Kiosk Medicine Kentucky LLC (Louisville, KY) and Little Clinic Of In LLC (Floyds Knobs, IN). 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 Jessica Joy Samson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jessica Joy Samson accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Jessica Joy Samson 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 Jessica Joy Samson was last updated on July 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.