Doctor profile · Federal record
Dr. Jennifer Sample, PA-C
Physician Assistant · Mentor, OH
- NPI 1902000714
- Accepts Medicare
- 20 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
9500 Mentor Ave, Suite 100
Mentor, OH 440608713
(440) 352-4880
fax (440) 352-3629 - Mailing address
-
9500 Euclid Ave
Cleveland, OH 441950001
Credentials & registration
- NPI registered
- June 2007 — 19 yrs on file
- Profile last updated
- April 8, 2021
- Year of graduation
- 2006 — 20 yrs since
- Specialty taxonomy
- 363A00000X — NUCC code
- State license (1)
- Ohio #2541
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1902000714. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$26
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Csl Behring | 1 | $25.96 |
By nature of payment
Frequently asked questions
What is Dr. Jennifer Sample's medical specialty?
Dr. Jennifer Sample practices Physician Assistant in Mentor, OH.
Where does Dr. Jennifer Sample practice?
Dr. Jennifer Sample practices at 9500 Mentor Ave, Mentor, OH 440608713. Office phone: 4403524880.
What is Dr. Jennifer Sample's NPI?
Dr. Jennifer Sample's National Provider Identifier (NPI) is 1902000714, issued by NPPES.
Does Dr. Jennifer Sample accept Medicare assignment?
Yes. Dr. Jennifer Sample accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.