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

Samantha Dastrup, AGNP-C

Individual provider Adult Health Nurse Practitioner · NPI 1245854165

Samantha Dastrup, AGNP-C is a Nurse Practitioner in San Francisco, California. Qualified in 2020, 6 years ago. Works from 5 locations and accepts Medicare assignment. Licensed in Arizona, California, District of Columbia and Oregon and 1 more.

Years since qualifying
6
Licensed in
AZ, CA, DC, OR, WA
In the registry since
2020
Specialties on file
5
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Practice location Address checks out

333 1st St Ste A
San Francisco, CA 94105-2661
Phone: (719) 343-5809
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9700 N 91st St Ste A115, Scottsdale, AZ 85258-5036 — (888) 803-3370
  • 1331 H St Nw Ste 200, Washington, DC 20005-4706 — (888) 412-3632
  • 2175 Nw Raleigh St Ste 110, Portland, OR 97210-2392 — (719) 342-5809
  • 555 Andover Park W Ste 200, Tukwila, WA 98188-3379 — (719) 342-5809

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 95038256 (CA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 242012 (AZ)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 61302790 (WA)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence NP500339167 (DC)
Adult Health Nurse Practitioner Taxonomy 363LA2200X · Licence 10007031 (OR)

Record details

NPI number1245854165
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedJune 5, 2020
Last updated in NPPESApril 6, 2026
Certification dateApril 6, 2026

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 locations5 on file with Medicare

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