Monique Michall Samuel, CRNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R205012 Issued in MD

Practice address

312 Kestrel Dr
Belcamp, MD 21017-1708

Phone

(134) 765-3347

NPI assigned

Jun 21, 2022

Last updated

Jun 21, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Whole Body Healthcare, LLC

  • Family Nurse Practitioner
  • Baltimore, MD
  • NPI 1740729482
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1655769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655769600000",
    "number": "1508597444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 KESTREL DR",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171708",
            "telephone_number": "134-765-3347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 KESTREL DR",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171708",
            "telephone_number": "134-765-3347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "MONIQUE",
        "middle_name": "MICHALL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-21",
        "last_updated": "2022-06-21",
        "certification_date": "2022-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MD",
            "license": "R205012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taj Robinson
• Rodeson Health Systems, LLC
• Frances Rodriguez, LPN
• Skylar Romero
• Hanan Salem
• Michael Santome, RN, BSN
• Amy Scott
• Seasons Hospice & Palliative Care of Maryland, LLC (AccentCare Hospice & Palliative Care of Maryland)
• Seekers of Hope Healthcare Agency
• Jessica Mary Jean Sewell, PA-C

• Family Nurse Practitioner in Belcamp, MD
• Providers in Belcamp, MD by specialty
• Family Nurse Practitioner in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.