SAMANTHA ANN MISSLBECK NP
NPI 1962966689
Nurse Practitioner - Family in San Francisco, CA

Active since January 27, 2019PECOS Enrolled
101 MARKET ST, SAN FRANCISCO, CA 94105(209) 918-5337 Get Directions Write a Review

NPPES record last updated: February 10, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 10, 2021, Jan 27, 2019 (2 updates tracked since 2019).

About Samantha Ann Misslbeck Np NPPES

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

SAMANTHA ANN MISSLBECK NP (NPI 1962966689) is an individual family provider in San Francisco, California, licensed in California (95011827) and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Berkeley.

NPPES Registry Identity

NPI1962966689
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA ANN MISSLBECKCredential: NP
Location Address101 MARKET STSan Francisco, CA 94105-1530
Mailing Address3515 Fillmore St Apt 306San Francisco, CA 94123-2156 · (209) 918-5337
Sole ProprietorNo
Enumeration DateJanuary 27, 2019
Last NPPES UpdateFebruary 10, 20212 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2021
✔ NPI 1962966689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in CA · 95011827
Also ListedRegistered NurseTaxonomy 163W00000X · License 95055615 (CA)
101 MARKET ST, San Francisco, CA 94105

Secondary Practice Location 1

Location 12450 Ashby AveBerkeley, CA 94705-2067 · Phone (510) 204-4444

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Ann Misslbeck Np 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

2

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

Infusion Therapy
43360 MISSION BLVD, SUITE 100
Fremont, CA 94539
  • Reassigned Medicare billing, California enrollment
  • 38 clinicians in this Medicare group
Specialist
2626 N CALIFORNIA ST STE B
Stockton, CA 95204
  • Reassigned Medicare billing, California enrollment
  • 16 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 94105 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
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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 Samantha Misslbeck's NPI number?

The NPI number for Samantha Misslbeck is 1962966689. It was assigned to this individual provider in the NPPES registry on January 27, 2019.

Where is Samantha Misslbeck located?

Samantha Misslbeck practices at 101 Market St, San Francisco, CA 94105. The listed phone number is (209) 918-5337.

What is Samantha Misslbeck's specialty?

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

Is Samantha Misslbeck enrolled in Medicare?

Yes. Samantha Misslbeck is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Misslbeck's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Misslbeck reassigns Medicare benefits to 2 organizations: Infusion Express Of California Inc (Fremont, CA) and Stockton Hematology Oncology Medical Group, Inc (Stockton, CA). 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 Samantha Misslbeck'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 Samantha Misslbeck was last updated on February 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.