Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. SAMANTHA BOGAN N.P.
NPI 1811547763
Nurse Practitioner - Pediatrics in Brooklyn, NY

Q: What is Samantha Bogan's NPI number?

The NPI number for Samantha Bogan is 1811547763. It was assigned to this individual provider in the NPPES registry on September 12, 2019. The provider is also known as Miss Samantha Chesney R.N..

Q: What is Samantha Bogan's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Bogan was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 25 days 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.

Active since September 12, 2019PECOS Enrolled

7715 4TH AVE, BROOKLYN, NY 11209(718) 833-2399(718) 836-2305 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Sep 17, 2026, Sep 12, 2019 (2 updates tracked since 2019).

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About Mrs. Samantha Bogan N.p. NPPES

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

MRS. SAMANTHA BOGAN N.P. (NPI 1811547763) is an individual pediatrics provider in Brooklyn, New York, licensed in New York (383031) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811547763

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameMRS. SAMANTHA BOGANCredential: N.P.

Location Address7715 4TH AVEBrooklyn, NY 11209-3439

Mailing Address92 Hopkins AveStaten Island, NY 10306-3827 · (917) 780-6910

Phone(718) 833-2399

Fax(718) 836-2305

Sole ProprietorNo

Enumeration DateSeptember 12, 2019

Last NPPES UpdateSeptember 17, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 17, 2026

✔ NPI 1811547763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LP0200X

License✔ Licensed in NY · 383031

7715 4TH AVE, Brooklyn, NY 11209

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Other Names 1

Former Name (1)Miss Samantha Chesney R.n.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Samantha Bogan N.p. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11209 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 11

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

MRS. ANASTASIYA MIZRACHI NP

Nurse Practitioner (Family)