MONIQUE M SAMUEL – Family Medicine Physician, NPI 1104369842

MONIQUE M SAMUEL is a healthcare provider. based in West palm beach, Florida. specializing in FAMILY PRACTICE, EMERGENCY MEDICINE. They hold a License No. DO.1976 (AL). The NPI Number for MONIQUE M SAMUEL is 1104369842

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
MONIQUE M SAMUEL
NPI
1104369842
Phone
(561) 420-8555
Address
2007 PALM BEACH LAKES BLVD
Enumeration Date
29 November 2016
Last Update Date
5 May 2020

Doctor Profile

Medical School Name
NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
Secondary Phone
4073214500
Graduation Year
2013 (13 years ago)
PAC ID
6002198256
Group Practice PAC ID
8426413931
Professional Enrollment ID
I20170123002551
Address ID
FL327072938CA2560X1792600
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:9State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for MONIQUE M SAMUEL

  • 2007, Palm Beach Lakes Boulevard, West Palm Beach, Palm Beach County, Florida, 33409, United States

    WEST PALM BEACH, FL 334096501

    Phone: (561) 420-8555

    Fax: (561) 420-8560

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2017-01-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20170123002551IFamily PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99284Emergency department visit with moderate level of medical decision making206201$0
99283Emergency department visit with low level of medical decision making6059$0
99285Emergency department visit with high level of medical decision making5555$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only1818$0
View full utilization report →

Insurance plans in this area (ZIP 33409)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8426413931View full group profile
NameSpecialtyState
Emergency MedicineFL
Emergency MedicineFL
Emergency MedicineTX
Family PracticeGA
Family PracticeCA
Nurse PractitionerFL
Emergency MedicinePA
Emergency MedicineFL
Nurse PractitionerMA
Emergency MedicineFL

Reviews

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Frequently asked questions

What is the registry number for MONIQUE M SAMUEL?
The registry entry for MONIQUE M SAMUEL shows NPI 1104369842.
Should I treat MONIQUE M SAMUEL as an active provider?
Patients and plans typically see MONIQUE M SAMUEL as active in the national extract.
What services align with MONIQUE M SAMUEL's listing?
MONIQUE M SAMUEL's public classification highlights Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is MONIQUE M SAMUEL tied to West Palm Beach, Florida?
If you are local to West Palm Beach, Florida, MONIQUE M SAMUEL may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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