DR. JENNIFER ANN SAMPANG (PH.D, MSN) – Psychiatric/Mental Health Nurse Practitioner, NPI 1396745899
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
7,343 NURSE PRACTITIONER in KY
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Provider Addresses for DR. JENNIFER ANN SAMPANG (PH.D, MSN)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452635283
Phone: (859) 301-5901
Fax: (859) 301-5940
Type: Mailing
200, Medical Village Drive, Edgewood, Kenton County, Kentucky, 41017, United States
EDGEWOOD, KY 41017
Phone: (859) 301-5900
Fax: (859) 301-5940
Type: Location
334 THOMAS MORE PKWY
CRESTVIEW HILLS, KY 410173464
Phone: (859) 301-5901
Fax: (859) 301-5940
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 395 Open Payments records for all available years, with a total value of $145,323.
Total Amount is formed as General ($145,323) + Research ($0) + Ownership ($0) = $145,323.
Last reported payment date: 2024-12-11 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($58,533).
Total Amount
$145,323
General + Research + Ownership
Payments
395
Total payment records
General Amount
$145,323
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-11
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $58,533 |
| ACADIA Pharmaceuticals Inc | $27,079 |
| ABBVIE INC. | $26,829 |
| Axsome Therapeutics, Inc. | $21,134 |
| Otsuka America Pharmaceutical, Inc. | $7,072 |
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: 2008-09-30
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20061205000365 | I | Nurse Practitioner | IN | TBD |
| I20080930000314 | I | Nurse Practitioner | KY | 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 | 116 | 36 | $0 |
| 90836 | Psychotherapy with evaluation and management visit, 45 minutes | 86 | 34 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 80 | 41 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 72 | 37 | $0 |
| 90833 | Psychotherapy with evaluation and management visit, 30 minutes | 45 | 35 | $0 |
Insurance plans in this area (ZIP 45263)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | KY | |
| H O S P I T A L I S T | OH | |
| Family Practice | KY | |
| Family Practice | OH | |
| Family Practice | OH | |
| G A S T R O E N T E R O L O G Y | KY | |
| - | KY | |
| - | FL | |
| O P T O M E T R Y | TX | |
| N E U R O L O G Y | OH |
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