Keariesha Natalee Addison Samuels, in Sacramento, CA

Keariesha Natalee Addison Samuels, is a medicare enrolled "Nurse Practitioner - Primary Care" in Sacramento, California. Her current practice location is 77 Cadillac Dr Ste 200, Sacramento, California. You can reach out to her office (for appointments etc.) via phone at (916) 569-8484.

Keariesha Natalee Addison Samuels is licensed to practice in California (license number 95029249) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1124895958.

Contact Information

	Keariesha Natalee Addison Samuels,
	77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337
	(916) 569-8484
	(916) 457-2667

Map and Direction

Provider's Profile

Full Name	Keariesha Natalee Addison Samuels
Gender	Female
Speciality	Nurse Practitioner - Primary Care
Location	77 Cadillac Dr Ste 200, Sacramento, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1124895958
Provider Enumeration Date: 12/12/2023
Last Update Date: 08/12/2025

Medicare PECOS Information:

PECOS PAC ID: 2860936630
Enrollment ID: I20240703002605

Medical Identifiers

Medical identifiers for Keariesha Natalee Addison Samuels such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1124895958	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	11030106 (Florida)	Secondary
363LP2300X	Nurse Practitioner - Primary Care	95029249 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Keariesha Natalee Addison Samuels allows following entities to bill medicare on her behalf.

Entity Name	Golden Valley Health Centers
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1356445753 PECOS PAC ID: 4183527187 Enrollment ID: O20040128000641

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. Keariesha Natalee Addison Samuels is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Keariesha Natalee Addison Samuels, 3375 Sw 173rd Way, Miramar, FL 33029-2605 Ph: (786) 267-4646	Keariesha Natalee Addison Samuels, 77 Cadillac Dr Ste 200, Sacramento, CA 95825-8337 Ph: (916) 569-8484

Reviews and Comments

Nurse Practitioner Nurses in Sacramento, CA

Sumon Johnson, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2570 48th St, Sacramento, CA 95817 Phone: 916-734-2145
Elena Walterman, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2315 Stockton Blvd Ste 1507, Sacramento, CA 95817 Phone: 916-734-2387
Ilana Lee Abramowitz, Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 2230 Stockton Blvd, Sacramento, CA 95817 Phone: 916-734-3574
Sharon Kay Mccoy, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 2025 Morse Ave, Sacramento, CA 95825 Phone: 916-973-6935
Frances Eileen Briare, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Sacramento, CA 95823 Phone: 916-688-2000
Ms. Patricia Lynne Kang, GNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6600 Bruceville Rd, Eldercare Adult Medicine F, Sacramento, CA 95823 Phone: 916-688-6862 Fax: 916-973-6682
Ashena Varani, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 3840 Watt Ave, Suite E, Sacramento, CA 95821 Phone: 916-488-6200 Fax: 916-488-6300

Keariesha Natalee Addison Samuels, - Medicare Nurse Practitioner in Sacramento, CA