MS. ELLEN E SAMPSON (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1023022662
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,971 NURSE PRACTITIONER in MA
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Provider Addresses for MS. ELLEN E SAMPSON (NP)
1261, Furnace Brook Parkway, North Commons, Quincy, Norfolk County, Massachusetts, 02169, United States
SUITE 31
QUINCY, MA 02169
Phone: (617) 479-4545
Fax: (617) 479-4555
Type: Location
18, Preston Road, Highland, West Roxbury, Boston, Suffolk County, Massachusetts, 02132, United States
WEST ROXBURY, MA 021322815
Phone: (617) 325-1054
Fax: (617) 479-4555
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $420.
Total Amount is formed as General ($420) + Research ($0) + Ownership ($0) = $420.
Last reported payment date: 2023-10-30 • Largest payer in this snapshot: ITI, Inc. ($212).
Total Amount
$420
General + Research + Ownership
Payments
6
Total payment records
General Amount
$420
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-10-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ITI, Inc. | $212 |
| ABBVIE INC. | $128 |
| Otsuka America Pharmaceutical, Inc. | $80 |
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: 2005-08-17
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 |
|---|---|---|---|---|
| I20050817000611 | I | Nurse Practitioner | MA | 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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 210 | 31 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 205 | 30 | $0 |
Insurance plans in this area (ZIP 02169)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| NURSE PRACTITIONER | MA | 90833 | Psychotherapy, 30 minutes with patient and/or family member | 69 | 48 |
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