Jennifer Sam
NPI 1336405059ActiveIndividual· Nurse Practitioner, Psych/Mental Health· Shelby Township, MI
Nurse Practitioner, Psych/Mental Health in Shelby Township, Michigan, licensed in MI, with an NPI issued in April 2012. Part D covered 271 prescriptions written in 2024, 99% of them generic.
Overview
| NPI | 1336405059 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Apr 6, 2012 |
| Last updated in NPPES | May 9, 2024 |
| Certified by provider | May 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Psych/Mental Health Primary | 363LP0808X | 4704248128 | MI |
| Nurse Practitioner | 363L00000X | 4704248128 | MI |
| Nurse Practitioner, Adult Health | 363LA2200X | 4704248128 | MI |
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 - Nurse Practitioner (MI) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 271 · 380 30-day fills |
|---|---|
| Patients | 28 |
| Total drug cost | $10,084 |
| Generic share | 99% 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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