Samantha Ann Misslbeck, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

95011827 Issued in CA

Practice address

101 Market St
San Francisco, CA 94105-1530

Phone

(209) 918-5337

NPI assigned

Jan 27, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

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

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.prod.flatiron.io/fhir/

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

• Stockton Hematology Oncology Medical Group, Inc

  • Specialist
  • Stockton, CA
  • NPI 1922175074
  Medicare reassignment NPD

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

{
    "created_epoch": "1548547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1962966689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 FILLMORE ST APT 306",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941232156",
            "telephone_number": "209-918-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 MARKET ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941051530",
            "telephone_number": "209-918-5337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Ashby Ave",
            "address_purpose": "LOCATION",
            "city": "Berkeley",
            "state": "CA",
            "postal_code": "947052067",
            "country_code": "US",
            "telephone_number": "510-204-4444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISSLBECK",
        "first_name": "SAMANTHA",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-27",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95055615",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95011827",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mission Wellness Healthcare LLC
• Mission Wellness Healthcare LLC (Mission Wellness Pharmacy)
• Mission Wellness Healthcare LLC
• Mission Wellness Pharmacy
• Donald M Missirlian
• Rhea Mistades, LMFT
• Alisha Mistry
• Rahul Mital, MD
• Mitchell J. Bilafer Dental Corp.
• Mitchell Jang DDS, Inc.

• Family Nurse Practitioner in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Family Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2021; 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.