IAN SAMUELSON (CRNP) – Nurse Practitioner, NPI 1932510534

IAN SAMUELSON (CRNP) is a healthcare provider. based in Athens, Alabama. specializing in Nurse Practitioner. They hold the professional credentials CRNP. They hold a License No. 1-121085 (AL). The NPI Number for IAN SAMUELSON (CRNP) is 1932510534

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
IAN SAMUELSON (CRNP)
NPI
1932510534
Phone
(256) 233-9273
Address
1005 W MARKET ST STE 7
Enumeration Date
16 May 2014
Last Update Date
16 May 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2562339273
Graduation Year
2013 (13 years ago)
PAC ID
3173740768
Group Practice PAC ID
1951694678
Professional Enrollment ID
I20140805001285
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience38
Completeness75
Years active:12State licenses:1Digital endpointsOther names

Provider Addresses for IAN SAMUELSON (CRNP)

  • 1005 W MARKET ST STE 7

    ATHENS, AL 356112454

    Phone: (256) 233-9273

    Fax: (256) 216-9192

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $130.

Total Amount is formed as General ($130) + Research ($0) + Ownership ($0) = $130.

Last reported payment date: 2023-10-27 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($77).

Total Amount

$130

General + Research + Ownership

Payments

6

Total payment records

General Amount

$130

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-27

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-11-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20140805001285INurse PractitionerALTBD
I20231117002921INurse PractitionerUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes6359$0
99213Established patient office or other outpatient visit, 20-29 minutes2417$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes2424$0
View full utilization report →

Insurance plans in this area (ZIP 35611)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1951694678View full group profile

Reviews

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Frequently asked questions

Is IAN SAMUELSON (CRNP) listed with a National Provider Identifier?
Yes — IAN SAMUELSON (CRNP) has NPI 1932510534 on file in the registry.
Is IAN SAMUELSON (CRNP) shown as active in public data?
Registry records indicate IAN SAMUELSON (CRNP) maintains an active NPI.
What expertise is attributed to IAN SAMUELSON (CRNP)?
IAN SAMUELSON (CRNP)'s specialty line reads Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for IAN SAMUELSON (CRNP)?
Travel planning: use Athens, Alabama as the reference point for IAN SAMUELSON (CRNP), then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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