FOLASHADE JAYEOBA-SAMPAY PMHNP-BC
NPI 1871192492
Nurse Practitioner - Psychiatric/Mental Health in Riverside, CA

Q: What is Folashade Jayeoba-sampay's NPI number?

The NPI number for Folashade Jayeoba-sampay is 1871192492. It was assigned to this individual provider in the NPPES registry on October 23, 2020.

Q: What is Folashade Jayeoba-sampay's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since October 23, 2020PECOS EnrolledAccepts Medicare Assignment

4361 LATHAM ST STE 220, RIVERSIDE, CA 92501(858) 279-1223 Get Directions Write a Review

NPPES record last updated: April 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 29, 2024, Apr 19, 2024, Nov 5, 2021 and 1 more (4 updates tracked since 2020).

On this page

About Folashade Jayeoba-sampay Pmhnp-bc NPPES

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

FOLASHADE JAYEOBA-SAMPAY PMHNP-BC (NPI 1871192492) is an individual psychiatric/mental health provider in Riverside, California, licensed in California (95015749) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1871192492

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameFOLASHADE JAYEOBA-SAMPAYCredential: PMHNP-BC

Location Address4361 LATHAM ST STE 220Riverside, CA 92501-1767

Mailing Address4361 Latham St Ste 220Riverside, CA 92501-1767

Phone(858) 279-1223

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 23, 2020

Last NPPES UpdateApril 29, 20244 updates tracked since enumeration

NPPES CertifiedApril 29, 2024

✔ NPI 1871192492 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95015749

4361 LATHAM ST STE 220, Riverside, CA 92501

Open in Google Maps ↗

Secondary Practice Locations 2

Location 17453 Tucson LnFontana, CA 92336-0712 · Phone (909) 544-3851

Location 23350 Shelby St Ste 200Ontario, CA 91764-5556 · Phone (760) 682-8384

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

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

Folashade Jayeoba-sampay Pmhnp-bc 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 ID1759795305

PECOS Enrollment IDI20210122001388

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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

239 services38 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

40 services21 patients

Psychiatric diagnostic evaluation with medical services 90792

A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.

13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92501 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

$91.88 typical visit price

range $59.60 – $179.42

Typical copayment $22.97 (range $14.90 – $44.85)

Most-billed visit code 99203

Established Patient

$104.64 typical visit price

range $19.37 – $146.42

Typical copayment $26.16 (range $4.84 – $36.60)

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.

KRYSTAL AMANDA VELASCO HERNANDEZ PMHNP

Nurse Practitioner (Psychiatric/Mental Health)