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MRS. NICHOLE MONIQUE SAMUEL CNM
NPI 1831489780
Midwife in Brooklyn, NY

Active since April 12, 2011PECOS Enrolled
760 BROADWAY, WOODHULL MENTAL & MENTAL HEALTH CENTER, BROOKLYN, NY 11206(718) 630-8000(718) 630-3122 Get Directions Write a Review

NPPES record last updated: May 19, 2014. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Nichole Monique Samuel Cnm NPPES

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

MRS. NICHOLE MONIQUE SAMUEL CNM (NPI 1831489780) is an individual midwife in Brooklyn, New York, licensed in New York (001419) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831489780
Entity TypeIndividualFemale
Primary Taxonomy176B00000X
Provider Legal NameMRS. NICHOLE MONIQUE SAMUELCredential: CNM
Location Address760 BROADWAY, WOODHULL MENTAL & MENTAL HEALTH CENTERBrooklyn, NY 11206
Mailing Address760 Broadway Dept. Of Managed Care Room 2b 230, Woodhull Medical & Mental Health CenterBrooklyn, NY 11206 · (718) 630-8000 · Fax (718) 630-3122
Phone(718) 630-8000
Fax(718) 630-3122
Sole ProprietorNo
Enumeration DateApril 12, 2011
Last NPPES UpdateMay 19, 2014
✔ NPI 1831489780 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMidwifeOther Service Providers
Taxonomy Code176B00000X
License✔ Licensed in NY · 001419
Definition
A Midwife is a trained professional with special expertise in supporting women to maintain a healthy pregnancy birth, offering expert individualized care, education, counseling, and support to a woman and her newborn throughout the childbearing cycle. A Midwife is a skilled and independent practitioner who has undergone formalized training. Midwives are not required to be nurses and may be trained via multiple routes of education (apprenticeship, workshop, formal classes, or programs, etc., usually a combination). The educational background requirements and licensing requirements vary by state. The Midwife may or may not be certified by a state or national organization.
760 BROADWAY, Brooklyn, NY 11206
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Nichole Monique Samuel Cnm 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 Nichole Samuel reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urban Strategies Brookdale Family Care Center Inc
2.4 mi
Family Medicine
1873 EASTERN PKWY
Brooklyn, NY 11233
  • Reassigned Medicare billing, New York enrollment
  • 67 clinicians in this Medicare group
NPI 1215984422 (718) 240-8700
Brookdale Hospital Medical Center
3.0 mi
General Acute Care Hospital
1 BROOKDALE PLZ STE 666
Brooklyn, NY 11212
  • Reassigned Medicare billing, New York enrollment
  • 782 clinicians in this Medicare group
NPI 1720028772 (718) 240-8352
Montefiore Medical Center
6.9 mi
Family Medicine
2633 BROADWAY
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1760288278 (888) 663-6331

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Nichole Samuel's NPI number?

The NPI number for Nichole Samuel is 1831489780. It was assigned to this individual provider in the NPPES registry on April 12, 2011.

Where is Nichole Samuel located?

Nichole Samuel practices at 760 Broadway Woodhull Mental & Mental Health Center, Brooklyn, NY 11206. The listed phone number is (718) 630-8000.

What is Nichole Samuel's specialty?

The primary specialty registered for this NPI is Midwife with taxonomy code 176B00000X.

Is Nichole Samuel enrolled in Medicare?

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

Which organizations bill Medicare for Nichole Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nichole Samuel reassigns Medicare benefits to 3 organizations: Urban Strategies Brookdale Family Care Center Inc (Brooklyn, NY), Brookdale Hospital Medical Center (Brooklyn, NY) and Montefiore Medical Center (New York, NY). 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 Nichole Samuel'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 Nichole Samuel was last updated on May 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.