GRACE MARIE SAMSON APRN
NPI 1811650849
Nurse Practitioner - Family in Las Vegas, NV

Active since October 17, 2021PECOS Enrolled
3059 S MARYLAND PKWY STE 202, LAS VEGAS, NV 89109(702) 680-1500 Get Directions Write a Review

NPPES record last updated: October 17, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Grace Marie Samson Aprn NPPES

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

GRACE MARIE SAMSON APRN (NPI 1811650849) is an individual family provider in Las Vegas, Nevada, licensed in Nevada (837808) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811650849
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameGRACE MARIE SAMSONCredential: APRN
Location Address3059 S MARYLAND PKWY STE 202Las Vegas, NV 89109-6209
Mailing Address3059 S Maryland Pkwy Ste 2023059sLas Vegas, NV 89109-2294 · (702) 680-1500
Sole ProprietorNo
Enumeration DateOctober 17, 2021
NPPES CertifiedOctober 17, 2021
✔ NPI 1811650849 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 NV · 837808
3059 S MARYLAND PKWY STE 202, Las Vegas, NV 89109

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Grace Marie Samson Aprn 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 Grace Samson reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
2255 RENAISSANCE DR STE B
Las Vegas, NV 89119
  • Reassigned Medicare billing, Nevada enrollment
  • 8 clinicians in this Medicare group
Psychiatry
6847 WEST CHARLESTON BLVD. SUITE-B
Las Vegas, NV 89117
  • Reassigned Medicare billing, Nevada enrollment
  • 5 clinicians in this Medicare group
Internal Medicine
6857 W CHARLESTON BLVD
Las Vegas, NV 89117
  • Reassigned Medicare billing, Nevada enrollment
  • 12 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 89109 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
$88.51 typical visit price
range $57.07 – $173.24
Typical copayment $22.12 (range $14.26 – $43.31)
Most-billed visit code 99203
Established Patient
$100.60 typical visit price
range $18.27 – $140.96
Typical copayment $25.15 (range $4.56 – $35.24)
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 Grace Samson's NPI number?

The NPI number for Grace Samson is 1811650849. It was assigned to this individual provider in the NPPES registry on October 17, 2021.

Where is Grace Samson located?

Grace Samson practices at 3059 S Maryland Pkwy Ste 202, Las Vegas, NV 89109. The listed phone number is (702) 680-1500.

What is Grace Samson's specialty?

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

Is Grace Samson enrolled in Medicare?

Yes. Grace Samson is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Grace Samson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Grace Samson reassigns Medicare benefits to 3 organizations: Celestial Health Solutions (Las Vegas, NV), Abide Health Medical A Professional Corp. (Las Vegas, NV) and Absolute Primary Care Center (Las Vegas, NV). 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 Grace Samson'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 Grace Samson was last updated on October 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.