MINETTE ROQUE SAMPANG PMHNP-BC
NPI 1912756339
Nurse Practitioner - Psychiatric/Mental Health in Joliet, IL

Q: 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.

Q: 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.

Q: 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 8 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.

Active since May 17, 2024PECOS Enrolled

1106 NEAL AVE, JOLIET, IL 60433(815) 727-8670 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 16, 2025, May 17, 2024 (2 updates tracked since 2024).

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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.

NPPES Registry Identity

NPI1912756339

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameMINETTE ROQUE SAMPANGCredential: PMHNP-BC

Location Address1106 NEAL AVEJoliet, IL 60433-2548

Mailing Address1106 Neal AveJoliet, IL 60433-2548 · (815) 727-8670

Phone(815) 727-8670

Sole ProprietorNo

Enumeration DateMay 17, 2024

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1912756339 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 IL · 209029652

1106 NEAL AVE, Joliet, IL 60433

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Minette Roque Sampang Pmhnp-bc 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.

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.

New Patient

$93.02 typical visit price

range $59.81 – $181.38

Typical copayment $23.25 (range $14.95 – $45.34)

Most-billed visit code 99203

Established Patient

$105.07 typical visit price

range $19.15 – $147.12

Typical copayment $26.26 (range $4.78 – $36.78)

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.

DOLLY OSAS AGBA NURSE PRACTITIONER

Nurse Practitioner (Adult Health)