SAMUEL PEASLEE
NPI 1831553270
Student in an Organized Health Care Education/Training Program in Albany, NY

Q: What is Samuel Peaslee's NPI number?

The NPI number for Samuel Peaslee is 1831553270. It was assigned to this individual provider in the NPPES registry on April 12, 2016.

Q: What is Samuel Peaslee's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Peaslee was last updated on February 11, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since April 12, 2016PECOS EnrolledAccepts Medicare Assignment

47 NEW SCOTLAND AVE DEPT OF, ALBANY, NY 12208(518) 264-2866 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samuel Peaslee NPPES

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

SAMUEL PEASLEE (NPI 1831553270) is an individual student in an organized health care education/training program in Albany, New York, licensed in New York (63777) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2016).

NPPES Registry Identity

NPI1831553270

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameSAMUEL PEASLEE

Location Address47 NEW SCOTLAND AVE DEPT OFAlbany, NY 12208-3412

Mailing Address47 New Scotland Ave Dept OfAlbany, NY 12208-3412

Phone(518) 264-2866

Sole ProprietorYes

Medical School CMSAlbany Medical College Of Union UniversityGraduated 2016

Enumeration DateApril 12, 2016

Last NPPES UpdateFebruary 11, 2022

✔ NPI 1831553270 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

License✔ Licensed in NY · 63777

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

47 NEW SCOTLAND AVE DEPT OF, Albany, NY 12208

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samuel Peaslee is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729323944

PECOS Enrollment IDI20250324003007

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.

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.

NICOLE SICA DO

Student in an Organized Health Care Education/Training Program