SHEBA SAMUEL NP
NPI 1932885373
Nurse Practitioner - Family in Suffern, NY
About Sheba Samuel Np NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHEBA SAMUEL NP (NPI 1932885373) is an individual family provider in Suffern, New York, licensed in New York (1932885373) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Sheba Samuel Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Sheba Samuel reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Warwick, NY 10990
- Reassigned Medicare billing, New York enrollment
- 176 clinicians in this Medicare group
New York, NY 10029
- Reassigned Medicare billing, New York enrollment
- 261 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 10901 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.
SUFFERN, NY 10901
SUFFERN, NY 10901
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 Sheba Samuel's NPI number?
The NPI number for Sheba Samuel is 1932885373. It was assigned to this individual provider in the NPPES registry on June 22, 2023.
Where is Sheba Samuel located?
Sheba Samuel practices at 255 Lafayette Ave, Suffern, NY 10901. The listed phone number is (718) 619-5756.
What is Sheba Samuel's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Sheba Samuel enrolled in Medicare?
Yes. Sheba Samuel is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Sheba Samuel's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sheba Samuel reassigns Medicare benefits to 2 organizations: Bon Secours Charity Health System Medical Group, P.C. (Warwick, NY) and Icahn School Of Medicine At Mount Sinai (New York, NY). Each 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 Sheba 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 Sheba Samuel was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Sheba Samuel, NP · NPI 1932885373
Family physician in Suffern, New York. Individual provider, active in the CMS NPPES registry since June 22, 2023.
## Identity
- **NPI:** 1932885373 (Entity type: Individual)
- **Enumerated:** June 22, 2023
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 1932885373 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 255 LAFAYETTE AVE, Suffern, NY 10901-4869
- **Phone:** (718) 619-5756
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Bon Secours Charity Health System Medical Group, P.C. (NPI 1487694345, Warwick, NY); Icahn School Of Medicine At Mount Sinai (NPI 1487912416, New York, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1932885373) · Data from the CMS NPPES public registry.