Jennifer Chitolie Samuel, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

051 Issued in VI

Practice address

4040 Estate la Grande Princess
Christiansted, VI 00820-5165

Phone

(340) 718-7788

Fax

(340) 718-9130

NPI assigned

Nov 12, 2014

Last updated

Nov 12, 2014By 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 VI

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Virgin Islands Diabetes Center of Excellence IncGroup PAC ID 4183070618, 5 clinicians

Primary Care, PLLCGroup PAC ID 7214014257, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Primary Care, PLLC

  • Preferred Provider Organization
  • Christiansted, VI
  • NPI 1114116951
  Medicare reassignment Care Compare group
• Virgin Islands Diabetes Center of Excellence Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Christiansted, VI
  • NPI 1649975970
  Medicare reassignment Care Compare group
• St. Croix Diagnostics, LLC

  • General Practice Physician
  • Christiansted, VI
  • NPI 1346672854
  NPD (past)

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

{
    "created_epoch": "1415750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1699171041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESS",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205165",
            "telephone_number": "340-718-7788",
            "fax_number": "340-718-9130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 ESTATE LA GRANDE PRINCESS",
            "city": "CHRISTIANSTED",
            "state": "VI",
            "postal_code": "008205165",
            "telephone_number": "340-718-7788",
            "fax_number": "340-718-9130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "JENNIFER",
        "middle_name": "CHITOLIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-12",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VI",
            "license": "051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Janelle Ruff, OTR L
• S. Richard Ombres MD PC
• Saint Croix Podiatry LLC
• John Salo
• Joseph A Salomone III, MD
• Carlos A Sanchez, M.D.
• Christian Santiago
• Shenice Santiago
• Lashonette M Schjang, MSW, CSW
• Yllyse Schjang

• Physician Assistant in Christiansted, VI
• Providers in Christiansted, VI by specialty
• Physician Assistant in U.S. Virgin Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; 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.

Verify at the official NPI Registry.