Revai Nicole Samuel
NPI 1295308831ActiveIndividual· Physician Assistant· Irvine, CA
Physician Assistant in Irvine, California, licensed in CA, with an NPI issued in July 2021. Part D covered 351 prescriptions written in 2024, 89% of them generic.
Overview
| NPI | 1295308831 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Jul 21, 2021 |
| Last updated in NPPES | Aug 16, 2024 |
| Certified by provider | Aug 16, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 62641 | CA |
| Physician Assistant | 363A00000X | — | — |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (CA) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 351 · 366 30-day fills |
|---|---|
| Patients | 205 |
| Total drug cost | $4,211 |
| Generic share | 89% of claims |
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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