SAMANTHA SHELBY DWOSKIN PNP-AC
NPI 1811662646
Nurse Practitioner - Pediatrics in San Francisco, CA

Q: What is Samantha Dwoskin's NPI number?

The NPI number for Samantha Dwoskin is 1811662646. It was assigned to this individual provider in the NPPES registry on August 13, 2021. The provider is also known as Samantha Shelby Ficon.

Q: What is Samantha Dwoskin'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 Dwoskin was last updated on September 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 13, 2021PECOS Enrolled

1975 4TH ST, SAN FRANCISCO, CA 94143(415) 353-1616 Get Directions Write a Review

NPPES record last updated: September 25, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 25, 2024, Aug 13, 2021 (2 updates tracked since 2021).

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About Samantha Shelby Dwoskin Pnp-ac NPPES

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

SAMANTHA SHELBY DWOSKIN PNP-AC (NPI 1811662646) is an individual pediatrics provider in San Francisco, California, licensed in California (95024545) and active in the NPI registry since August 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811662646

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSAMANTHA SHELBY DWOSKINCredential: PNP-AC

Location Address1975 4TH STSan Francisco, CA 94143-2351

Mailing Address1975 4th StSan Francisco, CA 94143-2351 · (415) 353-1616

Phone(415) 353-1616

Sole ProprietorNo

Enumeration DateAugust 13, 2021

Last NPPES UpdateSeptember 25, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 25, 2024

✔ NPI 1811662646 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

Licenses✔ Licensed in CA · 95024545✔ Licensed in NY · 383275

1975 4TH ST, San Francisco, CA 94143

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Other Names 1

Former Name (1)Samantha Shelby Ficon

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Shelby Dwoskin Pnp-ac 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 94143 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

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. ABBEY CORIN LEA DPT

Physical Therapist