SAMUEL WOLF DUNLOP (NP-C) – Family Nurse Practitioner, NPI 1235781030
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
24,232 NURSE PRACTITIONER in FL
Provider Addresses for SAMUEL WOLF DUNLOP (NP-C)
1852 Ridgewood Ave
Holly Hill, FL 321171738
Phone: (386) 675-4242
Fax: (386) 675-4243
Type: Location
29, Leaver Drive, Palm Coast, Flagler County, Florida, 32137, United States
PALM COAST, FL 321379750
Phone:
Type: Mailing
500 MEMORIAL CIR STE C
ORMOND BEACH, FL 321745054
Phone: (386) 615-3500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $89.
Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.
Last reported payment date: 2023-11-15 • Largest payer in this snapshot: Lilly USA, LLC ($38).
Total Amount
$89
General + Research + Ownership
Payments
5
Total payment records
General Amount
$89
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $38 |
| Amgen Inc. | $20 |
| SANOFI-AVENTIS U.S. LLC | $19 |
| AstraZeneca Pharmaceuticals LP | $13 |
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: 2019-09-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190925000333 | I | Nurse Practitioner | FL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 78 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 25 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 12 | 12 | $0 |
Insurance plans in this area (ZIP 32117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | FL | |
| Internal Medicine | FL | |
| Family Practice | PA | |
| Internal Medicine | PA | |
| Nurse Practitioner | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL |
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