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

Jennifer Herberger Samuel, NP-BC

Individual provider Family Medicine Physician · NPI 1689350977

Jennifer Herberger Samuel, NP-BC is a Nurse Practitioner in Leesburg, Virginia. Qualified in 2022, 4 years ago. Practices with Inova Ucc LLC, a 153-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
4
Licensed in
VA
In the registry since
2023
Specialties on file
2

Practice location Address checks out

531 E Market St
Leesburg, VA 20176-4115
Phone: (301) 428-1070
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024186818 (VA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 0024186818 (VA)

Record details

NPI number1689350977
Entity typeIndividual (Type 1)
GenderFemale
Credentials NP-BC
Sole proprietorNo
NPI enumeratedJune 22, 2023
Last updated in NPPESOctober 18, 2023
Certification dateOctober 18, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Inova Ucc Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

Other providers in Leesburg