MINETTE ROQUE SAMPANG PMHNP-BC
NPI 1912756339
Nurse Practitioner - Psychiatric/Mental Health in Joliet, IL
About Minette Roque Sampang Pmhnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MINETTE ROQUE SAMPANG PMHNP-BC (NPI 1912756339) is an individual psychiatric/mental health provider in Joliet, Illinois, licensed in Illinois (209029652) and active in the NPI registry since May 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2023).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Minette Roque Sampang 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.
Medicare Billing Reassignment
Medicare enrollment records show Minette Sampang reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Joliet, IL 60433
- Reassigned Medicare billing, Illinois enrollment
- 34 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 60433 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
JOLIET, IL 60433
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 Minette Sampang's NPI number?
The NPI number for Minette Sampang is 1912756339. It was assigned to this individual provider in the NPPES registry on May 17, 2024.
Where is Minette Sampang located?
Minette Sampang practices at 1106 Neal Ave, Joliet, IL 60433. The listed phone number is (815) 727-8670.
What is Minette Sampang's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.
Is Minette Sampang enrolled in Medicare?
Yes. Minette Sampang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Minette Sampang's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Minette Sampang reassigns Medicare benefits to Will County Community Health Center (Joliet, IL). 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 Minette Sampang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Minette Sampang accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Minette Sampang as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Minette Sampang was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Minette Roque Sampang, PMHNP-BC · NPI 1912756339
Psychiatric/Mental Health physician in Joliet, Illinois. Individual provider, active in the CMS NPPES registry since May 17, 2024.
## Identity
- **NPI:** 1912756339 (Entity type: Individual)
- **Enumerated:** May 17, 2024
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 209029652 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1106 NEAL AVE, Joliet, IL 60433-2548
- **Phone:** (815) 727-8670
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Will County Community Health Center (NPI 1902811714, Joliet, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2023
## Record status
- **NPPES last updated:** December 16, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1912756339) · Data from the CMS NPPES public registry.