SAMUEL MICHAEL RN, FNP
NPI 1780125963
Nurse Practitioner - Family in Bronx, NY
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
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samuel Michael Rn, Fnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samuel Michael reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 2 clinicians in this Medicare group
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 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.
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.
BRONX, NY 10461
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.
Which organization bills Medicare for Samuel Michael's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Michael reassigns Medicare benefits to Michael Care Family Health Np PC (New Hyde Park, NY). The 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 Samuel Michael's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 16 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.
# Samuel Michael, RN, FNP · NPI 1780125963
Family physician in Bronx, New York. Individual provider, active in the CMS NPPES registry since March 20, 2017.
## Identity
- **NPI:** 1780125963 (Entity type: Individual)
- **Enumerated:** March 20, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F339919-1 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1825 EASTCHESTER RD, ROOM 213, Bronx, NY 10461-2301
- **Phone:** (646) 673-4441
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Michael Care Family Health Np PC (NPI 1124990726, New Hyde Park, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** June 20, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1780125963) · Data from the CMS NPPES public registry.