AN THINH PHAN SAM
NPI 1891459251
Nurse Practitioner - Psychiatric/Mental Health in Dublin, OH

Q: What is An Thinh Sam's NPI number?

The NPI number for An Thinh Sam is 1891459251. It was assigned to this individual provider in the NPPES registry on October 22, 2021.

Q: What is An Thinh Sam's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for An Thinh Sam was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 October 22, 2021PECOS EnrolledAccepts Medicare Assignment

525 METRO PL N STE 100, DUBLIN, OH 43017(855) 289-1722 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 11, 2022, Oct 22, 2021 (2 updates tracked since 2021).

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About An Thinh Phan Sam NPPES

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

AN THINH PHAN SAM (NPI 1891459251) is an individual psychiatric/mental health provider in Dublin, Ohio, licensed in Ohio (APRN.CNP.0030775) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1891459251

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameAN THINH PHAN SAM

Location Address525 METRO PL N STE 100Dublin, OH 43017-5343

Mailing Address525 Metro Pl N Ste 100Dublin, OH 43017-5343 · (855) 289-1722

Phone(855) 289-1722

Sole ProprietorYes

Medical School CMSOtherGraduated 2021

Enumeration DateOctober 22, 2021

Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration

NPPES CertifiedOctober 11, 2022

✔ NPI 1891459251 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 OH · APRN.CNP.0030775

525 METRO PL N STE 100, Dublin, OH 43017

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Other Identifiers 1

Medicaid2910854OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Oscar Health Insurance and more.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

An Thinh Phan Sam 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 ID5991176612

PECOS Enrollment IDI20230117001540

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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309

A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.

499 services111 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.

70 services70 patients

Psychiatric services complicated by communication factor 90785

Psychiatric services complicated by communication factors involve mental health care for individuals who have challenges with communication. This can include language barriers, speech disorders, or cognitive impairments. The process involves tailored strategies to ensure effective communication and appropriate mental health care.

45 services45 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43017 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

$84.72 typical visit price

range $54.34 – $166.65

Typical copayment $21.18 (range $13.58 – $41.66)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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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.

KIERSTEN HANNAH

Case Manager/Care Coordinator