MR. SAMUEL HARRISON SACKENHEIM FNP
NPI 1942844527
Nurse Practitioner - Family in Statesville, NC

Active since November 06, 2019PECOS EnrolledAccepts Medicare Assignment
1404 FERN CREEK DR, STATESVILLE, NC 28625(704) 978-4025 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 10, 2023, Jun 1, 2023, Nov 6, 2019 (3 updates tracked since 2019).

About Mr. Samuel Harrison Sackenheim Fnp NPPES

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

MR. SAMUEL HARRISON SACKENHEIM FNP (NPI 1942844527) is an individual family provider in Statesville, North Carolina, licensed in North Carolina (5012592) and active in the NPI registry since November 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1942844527
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMR. SAMUEL HARRISON SACKENHEIMCredential: FNP
Location Address1404 FERN CREEK DRStatesville, NC 28625-9376
Mailing AddressPo Box 1845Statesville, NC 28687-1845 · (704) 978-4025 · Fax (704) 978-4007
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 6, 2019
Last NPPES UpdateAugust 10, 20233 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
NPI 1942844527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in NC · 5012592
1404 FERN CREEK DR, Statesville, NC 28625

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Samuel Harrison Sackenheim Fnp 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.

PECOS PAC ID8527426980
PECOS Enrollment IDI20230616003182
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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
400 services151 patients
Injection, ketorolac tromethamine, per 15 mg J1885
Ketorolac tromethamine is a medication administered through injection, often used to manage moderate to severe pain. Each 15 mg dose helps to reduce hormones causing inflammation and pain in the body. It is not recommended for long-term use.
180 services39 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
168 services40 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
94 services47 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
79 services62 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
45 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28625 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 4

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

Nurse Practitioner (Family)
1404 FERN CREEK DR
STATESVILLE, NC 28625
Pain Medicine (Interventional Pain Medicine)
1404 FERN CREEK DR, SUITE# 300
STATESVILLE, NC 28625
Nurse Practitioner
1404 FERN CREEK DR
STATESVILLE, NC 28625
Nurse Practitioner (Family)
1404 FERN CREEK DR
STATESVILLE, NC 28625

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 Samuel Sackenheim's NPI number?

The NPI number for Samuel Sackenheim is 1942844527. It was assigned to this individual provider in the NPPES registry on November 6, 2019.

Where is Samuel Sackenheim located?

Samuel Sackenheim practices at 1404 Fern Creek Dr, Statesville, NC 28625. The listed phone number is (704) 978-4025.

What is Samuel Sackenheim's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Sackenheim enrolled in Medicare?

Yes. Samuel Sackenheim 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.

What insurance does Samuel Sackenheim accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Samuel Sackenheim 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 Samuel Sackenheim was last updated on August 10, 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.