MR. SAM SIMPSON (APRN) – Family Nurse Practitioner, NPI 1023405198

MR. SAM SIMPSON (APRN) is a healthcare provider. based in Fayetteville, Arkansas. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. A004373 (AR). The NPI Number for MR. SAM SIMPSON (APRN) is 1023405198

Main info

Male
12 Years Of Experience
Accepts Medicare Assignment
Name
MR. SAM SIMPSON (APRN)
NPI
1023405198
Phone
(479) 463-1105
Address
3215 N NORTHHILLS BLVD
Enumeration Date
16 April 2015
Last Update Date
19 December 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ARKANSAS COLLEGE OF MEDICINE
Secondary Phone
4792153090
Graduation Year
2014 (12 years ago)
PAC ID
1951614296
Group Practice PAC ID
9032275318
Professional Enrollment ID
I20150716000309
Address ID
AR727618010SI3721X412X401

Contacts

Secure Messaging
sam.simpson.1@1964.direct.athenahealth.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness85
Years active:11State licenses:1Other namesUpdated within 12 months

3,410 NURSE PRACTITIONER in AR

Provider Addresses for MR. SAM SIMPSON (APRN)

  • 3215 N NORTHHILLS BLVD

    FAYETTEVILLE, AR 727034424

    Phone: (479) 463-1105

    Type: Mailing

  • 3721 HIGHWAY 412 E STE B

    SILOAM SPRINGS, AR 727618010

    Phone: (479) 215-3080

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2015-07-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20150716000309INurse PractitionerARTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes237182$0
99203New patient office or other outpatient visit, 30-44 minutes8383$0
81003Automated urinalysis test5646$0
87804Detection test by immunoassay with direct visual observation for influenza virus5024$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2625$0
View full utilization report →

Insurance plans in this area (ZIP 72703)

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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: 9032275318View full group profile

Reviews

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Frequently asked questions

What federal number belongs to MR. SAM SIMPSON (APRN)?
The federal identifier for MR. SAM SIMPSON (APRN) is NPI 1023405198.
Is MR. SAM SIMPSON (APRN)'s NPI currently valid?
The extract we use shows MR. SAM SIMPSON (APRN) as active.
What field does MR. SAM SIMPSON (APRN) work in?
You can think of MR. SAM SIMPSON (APRN) as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What location shows for MR. SAM SIMPSON (APRN)?
We surface Fayetteville, Arkansas for MR. SAM SIMPSON (APRN) based on available NPPES addresses.
What if Fayetteville, Arkansas seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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