Jeuelle M. Ottley Sam, PA-C
NPI 1740341924ActiveIndividual· Physician Assistant· Takoma Park, MD
Physician Assistant (PA-C) with Thriving Lane, practicing in Takoma Park, Maryland. Part D covered 194 prescriptions written in 2024, 85% of them generic.
Overview
| NPI | 1740341924 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Dec 12, 2006 |
| Last updated in NPPES | Mar 5, 2021 |
| Certified by provider | Mar 5, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | C0002743 | MD |
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); Practitioner - Physician Assistant (FL); Practitioner - Physician Assistant (GA); Practitioner - Physician Assistant (MD); Practitioner - Physician Assistant (NJ) |
|---|
Part D prescriptions in 2024
| Prescriptions (claims) | 194 · 405 30-day fills |
|---|---|
| Patients | 20 |
| Total drug cost | $36,077 |
| Generic share | 85% of claims |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Thriving LaneNaples, FL · 23 clinicians
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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All 15 physician assistants in Takoma Park · All physician assistants in Maryland