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SAMUEL MICHAEL RN, FNP
NPI 1780125963
Nurse Practitioner - Family in Bronx, NY

Active since March 20, 2017PECOS Enrolled
1825 EASTCHESTER RD, ROOM 213, BRONX, NY 10461(646) 673-4441 Get Directions Write a Review

NPPES record last updated: June 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 20, 2025, Mar 20, 2017 (2 updates tracked since 2017).

About Samuel Michael Rn, Fnp NPPES

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

SAMUEL MICHAEL RN, FNP (NPI 1780125963) is an individual family provider in Bronx, New York, licensed in New York (F339919-1) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1780125963
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL MICHAELCredential: RN, FNP
Location Address1825 EASTCHESTER RD, ROOM 213Bronx, NY 10461-2301
Mailing Address381 Old Courthouse RdManhasset Hills, NY 11040-1132 · (646) 673-4441 · Fax (212) 656-1384
Phone(646) 673-4441
Sole ProprietorYes
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 20, 2017
Last NPPES UpdateJune 20, 20252 updates tracked since enumeration
NPPES CertifiedJune 20, 2025
✔ NPI 1780125963 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 NY · F339919-1
Also ListedRegistered NurseTaxonomy 163W00000X · License 654383 (NY)
1825 EASTCHESTER RD, Bronx, NY 10461
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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)

Samuel Michael Rn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2163913443
PECOS Enrollment IDI20251114001008
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 10461 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

DR. ANGELICA ROSA ANGIULLI MD
Emergency Medicine
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904
KOHTARO OOKA
Internal Medicine (Gastroenterology)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (844) 556-6683
MR. ZAPHIN VARGHESE
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
YILUN LI
Physician Assistant
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (203) 710-6502
KIRA PAGE
Student in an Organized Health Care Education/Training Program
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2000
DR. CRISTINA MARIA GONZALEZ M.D.
Hospitalist
1825 EASTCHESTER RD, DOM 2-76
BRONX, NY 10461
Bronx County (718) 904-2400
DARSHITA SHAH MD
Obstetrics & Gynecology
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2767
SHRUTHEE RAJENDRAN
Physician Assistant (Medical)
1825 EASTCHESTER RD
BRONX, NY 10461
Bronx County (718) 904-2904

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 Samuel Michael's NPI number?

The NPI number for Samuel Michael is 1780125963. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Samuel Michael located?

Samuel Michael practices at 1825 Eastchester Rd Room 213, Bronx, NY 10461. The listed phone number is (646) 673-4441.

What is Samuel Michael's specialty?

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

Is Samuel Michael enrolled in Medicare?

Yes. Samuel Michael is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Michael was last updated on June 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.