Dr Jennifer Ann Sampang, PHD, MSN - Medicare Nurse Practitioner in Crestview Hills, KY

Dr Jennifer Ann Sampang, PHD, MSN is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Crestview Hills, Kentucky. She graduated from nursing school in 1997 and has 27 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Summit Medical Group, Inc and her current practice location is 334 Thomas More Pkwy, Crestview Hills, Kentucky. You can reach out to her office (for appointments etc.) via phone at (859) 301-5901.

Dr Jennifer Ann Sampang is licensed to practice in Kentucky (license number 3003731) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1396745899.

Contact Information

Dr Jennifer Ann Sampang, PHD, MSN
334 Thomas More Pkwy,
Crestview Hills, KY 41017-3464
(859) 301-5901
(859) 301-5940

Map and Direction




Provider's Profile

Full NameDr Jennifer Ann Sampang
GenderFemale
SpecialityNurse Practitioner
Experience27 Years
Location334 Thomas More Pkwy, Crestview Hills, Kentucky
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Jennifer Ann Sampang graduated from nursing school in 1997
  NPI Data:
  • NPI Number: 1396745899
  • Provider Enumeration Date: 07/26/2005
  • Last Update Date: 07/13/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 2567430572
  • Enrollment ID: I20080930000314

Medical Identifiers

Medical identifiers for Dr Jennifer Ann Sampang such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1396745899NPI-NPPES
200827630MedicaidIN
2389571MedicaidOH
78008042MedicaidKY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3003731 (Kentucky)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 3003731 (Kentucky)Primary
163W00000XRegistered Nurse 259097 (Ohio)Secondary
163W00000XRegistered Nurse 1098243 (Kentucky)Secondary
363L00000XNurse Practitioner NP08845 (Ohio)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
St Elizabeth EdgewoodEdgewood, KYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Summit Medical Group, Inc2163326240712

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Jennifer Ann Sampang allows following entities to bill medicare on her behalf.
Entity NameSummit Medical Group, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508287640
PECOS PAC ID: 2163326240
Enrollment ID: O20031120000738
Entity NameSt Elizabeth Medical Center, Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932187937
PECOS PAC ID: 0648174623
Enrollment ID: O20031121000206

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Jennifer Ann Sampang is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Jennifer Ann Sampang, PHD, MSN
Po Box 635283,
Cincinnati, OH 45263-5283

Ph: (859) 301-5901
Dr Jennifer Ann Sampang, PHD, MSN
334 Thomas More Pkwy,
Crestview Hills, KY 41017-3464

Ph: (859) 301-5901

Reviews and Comments


Nurse Practitioner Nurses in Crestview Hills, KY

Amy Kate Riegler, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 380 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-341-3015    Fax: 859-341-3215
Mackenzie Bacovin, APRN
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 651 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-757-4446    Fax: 859-344-1999
Catherine Steinkamp,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 651 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-344-1900    Fax: 859-344-4632
Deborah Ruhlman,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 350 Thomas More Pkwy, Ste 280, Crestview Hills, KY 41017
Phone: 859-426-0800    Fax: 859-426-4140
Brent A Plummer, APRN, MSN, PMHNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 334 Thomas More Parkway, Crestview Hills, KY 41017
Phone: 859-301-5901    Fax: 859-301-5940
Mrs. Katie Franconia Smith, APRN
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 2865 Chancellor Dr., Crestview Hills, KY 41017
Phone: 859-341-5400    
Mrs. Cathy Sue Kreimer, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 351 Centre View Blvd, Crestview Hills, KY 41017
Phone: 859-957-0052    Fax: 859-957-0054

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.