RACHEL MARIE SAMUELSON (PA-C) – Physician Assistant, NPI 1841693504
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for RACHEL MARIE SAMUELSON (PA-C)
350G RACETRACK RD NW
FORT WALTON BEACH, FL 325471699
Phone: (850) 374-3125
Fax: (850) 226-5544
Type: Mailing
210 S MAIN ST
CRESTVIEW, FL 325363737
Phone: (850) 226-6801
Type: Mailing
930 MAR WALT DRIVE
UNIT C
FORT WALTON BEACH, FL 32547
Phone: (850) 226-6801
Fax: (877) 413-5104
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $186.
Total Amount is formed as General ($186) + Research ($0) + Ownership ($0) = $186.
Last reported payment date: 2024-07-19 • Largest payer in this snapshot: DePuy Synthes Sales Inc. ($120).
Total Amount
$186
General + Research + Ownership
Payments
4
Total payment records
General Amount
$186
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| DePuy Synthes Sales Inc. | $120 |
| Abbott Laboratories | $41 |
| Boston Scientific Corporation | $16 |
| Nexxt Spine LLC | $8 |
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: 2014-11-21
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 |
|---|---|---|---|---|
| I20141121001224 | I | Physician Assistant | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 32547)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | HI | |
| N E U R O S U R G E R Y | FL |
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