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MS. ELLEN E SAMPSON NP NPI 1023022662


NPI Information

NPI: 1023022662
Provider Name: MS. ELLEN E SAMPSON, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1261 FURNACE BROOK PKWY
SUITE 31
QUINCY, MA
ZIP 02169
Phone: (617) 479-4545
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MS. Ellen E Sampson, NP is a psychiatric/mental health nurse practitioner in Quincy, MA with 28 years of experience. MS. Ellen E Sampson, NP NPI is 1023022662. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1261 FURNACE BROOK PKWY
SUITE 31
QUINCY, MA
ZIP 02169
Phone: (617) 479-4545
Fax: (617) 479-4555

The NPI 1023022662 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Psychotherapy, 30 minutes (HCPCS:90833)

The enumeration date for this NPI number is 7/28/2006 and was last updated on 9/26/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1363LP0808XNurse PractitionerPsychiatric/Mental Health172153MASSACHUSETTSYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1M20294MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTSGROUP #
20708020MEDICAIDMASSACHUSETTS
3NP0810MEDICARE ID-TYPE UNSPECIFIEDMASSACHUSETTS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.