CAROLINE E SAM
NPI 1932507274
Nurse Practitioner - Psychiatric/Mental Health in Dallas, TX

Q: What is Caroline Sam's NPI number?

The NPI number for Caroline Sam is 1932507274. It was assigned to this individual provider in the NPPES registry on December 19, 2014.

Q: What is Caroline 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 Caroline Sam was last updated on February 7, 2023. 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 December 19, 2014PECOS Enrolled

4215 GANNON LN, DALLAS, TX 75237(972) 283-9090(972) 499-0367 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Caroline E Sam NPPES

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

CAROLINE E SAM (NPI 1932507274) is an individual psychiatric/mental health provider in Dallas, Texas, licensed in Texas (1106805) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932507274

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameCAROLINE E SAM

Location Address4215 GANNON LNDallas, TX 75237-2914

Mailing Address508 Airport Executive BoulevardNanuet, NY 10958 · (845) 425-2655

Phone(972) 283-9090

Fax(972) 499-0367

Sole ProprietorYes

Enumeration DateDecember 19, 2014

Last NPPES UpdateFebruary 7, 2023

NPPES CertifiedFebruary 7, 2023

✔ NPI 1932507274 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 TX · 1106805

4215 GANNON LN, Dallas, TX 75237

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare, Oscar Health, Oscar Health Plan, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Caroline E Sam 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 Reassignments

Medicare enrollment records show Caroline Sam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Faith Behavioral Health PLLC

32 mi

Child & Adolescent Psychiatry

4500 HILLCREST RD STE 115
Frisco, TX 75035

Reassigned Medicare billing, Texas enrollment
3 clinicians in this Medicare group

NPI 1639705130 (469) 213-6400

Grow Healthcare Group PA

1,113 mi

Mental Health

66 W FLAGLER ST STE 900
Miami, FL 33130

Reassigned Medicare billing, Texas enrollment
1,573 clinicians in this Medicare group

NPI 1245845932 (786) 244-7711

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 75237 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

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

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 7

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

KANEISHA D BAILEY LPC

Counselor (Professional)