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DR. CARLENE MICHELLE SAMUEL M.D.
NPI 1912358680
Student in an Organized Health Care Education/Training Program in Las Vegas, NV

Active since June 23, 2016PECOS Enrolled
1524 PINTO LN, 2ND FLOOR, LAS VEGAS, NV 89106(702) 671-2236(702) 671-2233 Get Directions Write a Review

NPPES record last updated: June 23, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlene Michelle Samuel M.d. NPPES

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

DR. CARLENE MICHELLE SAMUEL M.D. (NPI 1912358680) is an individual student in an organized health care education/training program in Las Vegas, Nevada and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912358680
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. CARLENE MICHELLE SAMUELCredential: M.D.
Location Address1524 PINTO LN, 2ND FLOORLas Vegas, NV 89106-4195
Mailing Address1524 Pinto Ln, 2nd FloorLas Vegas, NV 89106-4195 · (702) 671-2236 · Fax (702) 671-2233
Phone(702) 671-2236
Fax(702) 671-2233
Sole ProprietorNo
Enumeration DateJune 23, 2016
✔ NPI 1912358680 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
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.
1524 PINTO LN, Las Vegas, NV 89106
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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)

Dr. Carlene Michelle Samuel M.d. 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 Reassignment

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

Childrens Specialty Group PLLC
2,148 mi
Pediatrics
601 CHILDRENS LN
Norfolk, VA 23507
  • Reassigned Medicare billing, Virginia enrollment
  • 549 clinicians in this Medicare group
NPI 1255354130 (757) 668-7007

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 17

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

MR. DEAN JEFFREY CHIARELLI R.D
Dietitian, Registered
1524 PINTO LN
LAS VEGAS, NV 89106
Clark County (702) 207-8205
DR. GILDA ARCALES VILLAREAL DRNP
Nurse Practitioner (Pediatrics)
1524 PINTO LN
LAS VEGAS, NV 89106
Clark County (702) 383-6285
JACK LAZERSON M.D.
Pediatrics (Pediatric Hematology-Oncology)
1524 PINTO LN
LAS VEGAS, NV 89106
Clark County (702) 671-2231
DAVID HANLON BARTON DO
Pediatrics (Adolescent Medicine)
1524 PINTO LN
LAS VEGAS, NV 89106
Clark County (702) 383-3642
DR. CAROLINA FRANCES KOLETIC M.D.
Pediatrics
1524 PINTO LN, 2ND FLOOR
LAS VEGAS, NV 89106
Clark County (702) 671-2236
UNIVERSITY MEDICAL CENTER
Clinic/Center
1524 PINTO LN
LAS VEGAS, NV 89106
Clark County (702) 383-3642
MS. DINA V PATEL APN
Nurse Practitioner (Pediatrics)
1524 PINTO LN, 3RD. FLOOR
LAS VEGAS, NV 89106
Clark County (702) 944-2828
BENJAMIN ALEXANDER HART M.D.
Neuromusculoskeletal Medicine, Sports Medicine
1524 PINTO LN
LAS VEGAS, NV 89106
Clark County (701) 383-3999

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 Carlene Samuel's NPI number?

The NPI number for Carlene Samuel is 1912358680. It was assigned to this individual provider in the NPPES registry on June 23, 2016.

Where is Carlene Samuel located?

Carlene Samuel practices at 1524 Pinto Ln 2nd Floor, Las Vegas, NV 89106. The listed phone number is (702) 671-2236.

What is Carlene Samuel's specialty?

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

Is Carlene Samuel enrolled in Medicare?

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

Which organization bills Medicare for Carlene Samuel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlene Samuel reassigns Medicare benefits to Childrens Specialty Group PLLC (Norfolk, VA). 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 Carlene 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 Carlene Samuel was last updated on June 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.