Active NPI
Felicia Sam, DNP, CRNP, AGNP-C
- Primary Care Nurse Practitioner
- Monrovia, MD
National Provider Identifier
1477412468
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- R213446
- Practice address
- 11114 Fen View LN
Monrovia, MD 21770-6077 - Phone
- (240) 277-5894
- NPI assigned
- Jan 16, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | R213446 | MD | Primary |
Addresses
Primary practice location
11114 Fen View LN
Monrovia, MD 21770-6077
Mailing address
11114 Fen View LN
Monrovia, MD 21770-6077
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Care Compare profile
Medicare Care Compare- Specialty
- Undefined Non-Physician Type (Specify)
- Education
- Johns Hopkins University School of Medicine, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
11114 Fen View LN
Monrovia, MD 21770-6077
4535 Dressier Rd NW
Canton, OH 44718-2545
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R213446 | MD | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770854400000",
"number": "1477412468",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11114 FEN VIEW LN",
"city": "MONROVIA",
"state": "MD",
"postal_code": "217706077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11114 FEN VIEW LN",
"city": "MONROVIA",
"state": "MD",
"postal_code": "217706077",
"telephone_number": "240-277-5894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SAM",
"first_name": "FELICIA",
"credential": "DNP, CRNP, AGNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-16",
"last_updated": "2026-02-12",
"certification_date": "2026-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "MD",
"license": "R213446",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Monrovia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.