MRS. MERIAM VERONICA SAM (NP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1992087605
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,105 NURSE PRACTITIONER in MI
Provider Addresses for MRS. MERIAM VERONICA SAM (NP)
22120 KARL ST
DETROIT, MI 482192360
Phone: (734) 796-5552
Type: Mailing
2301 S HURON PKWY STE 2B
ANN ARBOR, MI 481045133
Phone: (734) 796-5552
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 19 Open Payments records for all available years, with a total value of $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Lundbeck LLC ($83).
Total Amount
$365
General + Research + Ownership
Payments
19
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-08-14
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lundbeck LLC | $83 |
| Axsome Therapeutics, Inc. | $69 |
| ITI, Inc. | $51 |
| ABBVIE INC. | $47 |
| Neurocrine BioSciences, Inc. | $38 |
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: 2017-02-14
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 |
|---|---|---|---|---|
| I20170214000297 | 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 |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 396 | 58 | $0 |
| 90837 | Psychotherapy, 1 hour | 252 | 18 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 251 | 75 | $0 |
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 16 | 15 | $0 |
Insurance plans in this area (ZIP 48219)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Nurse Practitioner | MI | |
| Clinical Social Worker | MI | |
| Nurse Practitioner | MI | |
| Nurse Practitioner | CT | |
| Mental Health Counselor | NV | |
| Nurse Practitioner | MI | |
| Mental Health Counselor | MI | |
| P S Y C H I A T R Y | MI |
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