DR. STEPHANIE MICHELLE SAMPSON (DNP, APRN, FNP-C) – Family Nurse Practitioner, NPI 1215596192
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for DR. STEPHANIE MICHELLE SAMPSON (DNP, APRN, FNP-C)
740, South Woodruff Avenue, Idaho Falls, Bonneville County, Idaho, 83401, United States
IDAHO FALLS, ID 834015285
Phone: (208) 542-9111
Fax: (208) 542-9114
Type: Mailing
630, East 1400 North, Logan, Cache County, Utah, 84341, United States
LOGAN, UT 843412691
Phone: (435) 915-4465
Fax: (435) 787-8509
Type: Location
682 S MAIN ST STE 150
LOGAN, UT 843216568
Phone: (435) 990-4282
Fax: (435) 355-3718
Type: Location
PO BOX 245
LOGAN, UT 843230245
Phone: (435) 990-4282
Fax: (435) 355-3718
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 73 Open Payments records for all available years, with a total value of $1,377.
Total Amount is formed as General ($1,377) + Research ($0) + Ownership ($0) = $1,377.
Last reported payment date: 2024-10-15 • Largest payer in this snapshot: ABBVIE INC. ($257).
Total Amount
$1,377
General + Research + Ownership
Payments
73
Total payment records
General Amount
$1,377
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $257 |
| Takeda Pharmaceuticals U.S.A., Inc. | $155 |
| ViiV Healthcare Company | $83 |
| Lundbeck LLC | $80 |
| Otsuka America Pharmaceutical, Inc. | $71 |
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: 2019-11-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191113001636 | I | Nurse Practitioner | UT | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 83401)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | WY | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | CT | |
| Nurse Practitioner | ID | |
| Physician Assistant | WA | |
| Physician Assistant | FL | |
| Physician Assistant | ID | |
| Physician Assistant | ID | |
| Physician Assistant | ID |
Reviews
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