JENNIFER SAMPSON (MSN, RN, FNP-BC) – Family Nurse Practitioner, NPI 1124530449
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for JENNIFER SAMPSON (MSN, RN, FNP-BC)
1594, Seeley Road Northwest, Rapid River Township, Kalkaska County, Michigan, 49676, United States
RAPID CITY, MI 496769535
Phone: (989) 573-1188
Type: Mailing
419 W State St
Mancelona, MI 496599651
Phone: (231) 587-9181
Type: Location
419 S Coral St
Kalkaska, MI 496462503
Phone: (231) 258-7777
Type: Location
East Jordan Family Pharmacy, 601, Bridge Street, East Jordan, Charlevoix County, Michigan, 49727, United States
EAST JORDAN, MI 497279383
Phone: (231) 536-2206
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $221.
Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.
Last reported payment date: 2024-10-11 • Largest payer in this snapshot: Novo Nordisk Inc ($68).
Total Amount
$221
General + Research + Ownership
Payments
13
Total payment records
General Amount
$221
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $68 |
| AstraZeneca Pharmaceuticals LP | $52 |
| ABBVIE INC. | $50 |
| Exact Sciences Corporation | $22 |
| Lilly USA, LLC | $15 |
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: 2017-12-19
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 |
|---|---|---|---|---|
| I20171219002309 | I | Nurse Practitioner | MI | 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 | 118 | 99 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 57 | 51 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 19 | 18 | $0 |
| G0008 | Administration of influenza virus vaccine | 19 | 19 | $0 |
| 90662 | Influenza vaccine split virus, preservative free | 15 | 15 | $0 |
Insurance plans in this area (ZIP 49676)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | MI | |
| G A S T R O E N T E R O L O G Y | MI | |
| O T O L A R Y N G O L O G Y | MI | |
| Physician Assistant | MI | |
| Family Practice | MI | |
| Orthopedic Surgery | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Family Practice | MI | |
| Family Practice | MI |
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