SAMANTHA JEAN PAULEY (ARNP) – Family Nurse Practitioner, NPI 1295606366

SAMANTHA JEAN PAULEY (ARNP) is a healthcare provider. based in Denison, Iowa. specializing in NURSE PRACTITIONER. They hold the professional credentials ARNP. They hold a License No. A186894 (IA). The NPI Number for SAMANTHA JEAN PAULEY (ARNP) is 1295606366

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JEAN PAULEY (ARNP)
NPI
1295606366
Phone
(712) 269-9702
Address
112 N 26TH ST
Enumeration Date
13 September 2025
Last Update Date
13 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7122652500
Graduation Year
2025 (1 year ago)
PAC ID
2062900301
Group Practice PAC ID
7810890555
Professional Enrollment ID
I20251020002137
Address ID
IA514422607DE100XXPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

3,532 NURSE PRACTITIONER in IA

Provider Addresses for SAMANTHA JEAN PAULEY (ARNP)

  • 112 N 26TH ST

    DENISON, IA 514421726

    Phone: (712) 269-9702

    Type: Mailing

  • 100 MEDICAL PKWY

    DENISON, IA 514422299

    Phone: (712) 269-9702

    Type: Location

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: 2025-10-20

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
I20251020002137INurse PractitionerIATBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 51442)

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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: 7810890555View full group profile
NameSpecialtyState
Marriage And Family TherapistTN
Physician AssistantIA
General SurgeryIA
-IN
Family PracticeIA
Nurse PractitionerIA
Family Practice, Emergency MedicineGA
Nurse PractitionerIA
Physician AssistantIA
Physician AssistantIA

Reviews

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Frequently asked questions

How is SAMANTHA JEAN PAULEY (ARNP) identified in CMS data?
CMS-hosted NPPES data lists SAMANTHA JEAN PAULEY (ARNP) with NPI 1295606366.
Can I rely on SAMANTHA JEAN PAULEY (ARNP) being an active provider?
As of the registry snapshot, SAMANTHA JEAN PAULEY (ARNP) is marked active.
What is SAMANTHA JEAN PAULEY (ARNP)'s specialty?
The listing groups SAMANTHA JEAN PAULEY (ARNP) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What address line appears for SAMANTHA JEAN PAULEY (ARNP)?
SAMANTHA JEAN PAULEY (ARNP)'s geographic hint is Denison, Iowa in our summary view.
Is the information about SAMANTHA JEAN PAULEY (ARNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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