SAMANTHA JAFFE FNP-BC
NPI 1861326993
Nurse Practitioner - Family in Philadelphia, PA

Active since June 12, 2026PECOS Enrolled
2021 CHESTNUT ST, PHILADELPHIA, PA 19103(267) 443-2020 Get Directions Write a Review

NPPES record last updated: June 12, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Samantha Jaffe Fnp-bc NPPES

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

SAMANTHA JAFFE FNP-BC (NPI 1861326993) is an individual family provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (SP035970) and active in the NPI registry since June 2026. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1861326993
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JAFFECredential: FNP-BC
Location Address2021 CHESTNUT STPhiladelphia, PA 19103-3373
Mailing Address301 Briarwood AveHaddonfield, NJ 08033-2907
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateJune 12, 2026
NPPES CertifiedJune 12, 2026
✔ NPI 1861326993 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
Licenses✔ Licensed in PA · SP035970✔ Licensed in NJ · 26NJ15548900
2021 CHESTNUT ST, Philadelphia, PA 19103

Secondary Practice Locations 2

Location 1700 Walnut StPhiladelphia, PA 19106-3505 · Phone (215) 503-7300
Location 22451 Grant AvePhiladelphia, PA 19114-1031 · Phone (215) 934-3471

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Jaffe Fnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567922859
PECOS Enrollment IDI20260905000622
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 Reassignment

Medicare enrollment records show Samantha Jaffe reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
830 WALNUT ST
Philadelphia, PA 19107
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 241 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 19103 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

Clinic/Center (Urgent Care)
2021 CHESTNUT ST
PHILADELPHIA, PA 19103
Nurse Practitioner (Adult Health)
2021 CHESTNUT ST
PHILADELPHIA, PA 19103
Nurse Practitioner (Family)
2021 CHESTNUT ST
PHILADELPHIA, PA 19103

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 Samantha Jaffe's NPI number?

The NPI number for Samantha Jaffe is 1861326993. It was assigned to this individual provider in the NPPES registry on June 12, 2026.

Where is Samantha Jaffe located?

Samantha Jaffe practices at 2021 Chestnut St, Philadelphia, PA 19103. The listed phone number is (267) 443-2020.

What is Samantha Jaffe's specialty?

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

Is Samantha Jaffe enrolled in Medicare?

Yes. Samantha Jaffe is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Samantha Jaffe's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Jaffe reassigns Medicare benefits to Jefferson Acute Care Physicians, PC (Philadelphia, PA). The 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 Samantha Jaffe'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 Samantha Jaffe was last updated on June 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.