Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Samuel S Wilburn, DNP, AGNP

Individual provider Adult Health Nurse Practitioner · NPI 1396355327

Dr. Samuel S Wilburn, DNP, AGNP is a Nurse Practitioner in Philadelphia, Pennsylvania. Qualified in 2020, 6 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York and Pennsylvania.

Years since qualifying
6
Licensed in
NY, PA
In the registry since
2020
Specialties on file
2
What do these letters mean?
DNP — Doctor of Nursing Practice
The highest clinical degree in nursing.
AGNP — Adult-Gerontology Nurse Practitioner
A nurse practitioner focused on adults and older people.

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Practice location Address checks out

1348 Bainbridge St
Philadelphia, PA 19147-1810
Phone: (215) 563-0657
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence SP022592 (PA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 309784 (NY)

Record details

NPI number1396355327
Entity typeIndividual (Type 1)
GenderMale
Credentials DNP , AGNP
Sole proprietorYes
NPI enumeratedAugust 4, 2020
Last updated in NPPESDecember 4, 2023
Certification dateDecember 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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