Sam Ustrzynski, RN, MSN - Nurse Practitioner in San Francisco, CA

Sam Ustrzynski, RN, MSN is a Nurse Practitioner - Family based in San Francisco, California. Sam Ustrzynski is licensed to practice in California (license number 20405) and his current practice location is 4150 Clement St, San Francisco, California. He can be reached at his office (for appointments etc.) via phone at (702) 882-2066.

NPI number for Sam Ustrzynski is 1194952218 and his current mailing address is Po Box 475251, San Francisco, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1194952218.

Contact Information

Sam Ustrzynski, RN, MSN
4150 Clement St,
San Francisco, CA 94120
(702) 882-2066
Not Available

Map and Direction




Provider's Profile

Full NameSam Ustrzynski
GenderMale
SpecialityNurse Practitioner - Family
Location4150 Clement St, San Francisco, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1194952218
  • Provider Enumeration Date: 06/16/2009
  • Last Update Date: 11/03/2014

Medical Identifiers

Medical identifiers for Sam Ustrzynski such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194952218NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2200XNurse Practitioner - Adult Health 20405 (California)Secondary
363LC1500XNurse Practitioner - Community Health 20405 (California)Secondary
363LX0106XNurse Practitioner - Occupational Health 20405 (California)Secondary
363L00000XNurse Practitioner 20405 (California)Secondary
163WC0200XRegistered Nurse - Critical Care Medicine 715183 (California)Secondary
171000000XMilitary Health Care Provider 715183 (California)Secondary
363LF0000XNurse Practitioner - Family 20405 (California)Primary
363LP2300XNurse Practitioner - Primary Care 20405 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 20405 (California)Secondary

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. Sam Ustrzynski is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Sam Ustrzynski, RN, MSN
Po Box 475251,
San Francisco, CA 94147-5251

Ph: (702) 882-2066
Sam Ustrzynski, RN, MSN
4150 Clement St,
San Francisco, CA 94120

Ph: (702) 882-2066

Reviews and Comments


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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.