Samantha B Burgess, FNP-C - Medicare Nurse Practitioner in Charleston, WV

Samantha B Burgess, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Charleston, West Virginia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Holistic Inc and her current practice location is 4815 Maccorkle Ave Se, Charleston, West Virginia. You can reach out to her office (for appointments etc.) via phone at (681) 265-1693.

Samantha B Burgess is licensed to practice in West Virginia (license number APRN90027-FNP-BC) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1336505049.

Contact Information

Samantha B Burgess, FNP-C
4815 Maccorkle Ave Se,
Charleston, WV 25304-1948
(681) 265-1693
(681) 265-0990

Map and Direction




Provider's Profile

Full NameSamantha B Burgess
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location4815 Maccorkle Ave Se, Charleston, West Virginia
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Samantha B Burgess graduated from nursing school in 2015
  NPI Data:
  • NPI Number: 1336505049
  • Provider Enumeration Date: 01/11/2016
  • Last Update Date: 01/18/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 5799078358
  • Enrollment ID: I20171009002486

Medical Identifiers

Medical identifiers for Samantha B Burgess such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336505049NPI-NPPES
100519213MedicaidNV

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363L00000XNurse Practitioner 3010278 (Kentucky)Secondary
363LF0000XNurse Practitioner - Family 810074 (Nevada)Secondary
363LF0000XNurse Practitioner - Family APRN90027-FNP-BC (West Virginia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Holistic Inc67091403202

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. Samantha B Burgess allows following entities to bill medicare on her behalf.
Entity NameHolistic Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1811405616
PECOS PAC ID: 6709140320
Enrollment ID: O20180508001517
Entity NameWv Medical Services And Counseling
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1306419734
PECOS PAC ID: 5092195552
Enrollment ID: O20220630002248

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. Samantha B Burgess 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 AddressPractice Location Address
Samantha B Burgess, FNP-C
4815 Maccorkle Ave Se,
Charleston, WV 25304-1948

Ph: (681) 265-1693
Samantha B Burgess, FNP-C
4815 Maccorkle Ave Se,
Charleston, WV 25304-1948

Ph: (681) 265-1693

Reviews and Comments


Nurse Practitioner Nurses in Charleston, WV

Stephanie Lynn Legg, APRN, FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 2345 Chesterfield Ave Ste 302, Charleston, WV 25304
Phone: 681-205-8610    Fax: 681-205-8615
Ms. Brenda Lou Keefer, ANP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-925-3436    
Brenda Moody Walker, RN,MSN,CFNP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 4407 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-925-0392    Fax: 304-825-0392
Janice K Kaufman, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3100 Maccorkle Ave, Suite 709, Charleston, WV 25304
Phone: 304-342-1184    Fax: 304-343-8487
Mrs. Cari Stover, NP-C
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 4307 Maccorkle Ave Se, Charleston, WV 25304
Phone: 304-205-6123    
Mrs. Carolyn Sue Green, APRN FNP-BC
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 510 Washington St W, Charleston, WV 25302
Phone: 304-344-9834    Fax: 304-344-1756
Shawnna D. Walker, FNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3200 Maccorkle Ave Se, Outpatient Care Center (rwp), Charleston, WV 25304
Phone: 304-388-9677    Fax: 304-388-8238

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.