SAMANTHA SAMUELS (APRN) – Family Nurse Practitioner, NPI 1033867874

SAMANTHA SAMUELS (APRN) is a healthcare provider. based in Marion, Kentucky. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 3017218 (KY). The NPI Number for SAMANTHA SAMUELS (APRN) is 1033867874

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA SAMUELS (APRN)
NPI
1033867874
Phone
(270) 704-1868
Address
1888 NUNN SWITCH RD
Enumeration Date
11 March 2022
Last Update Date
11 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2703880620
Graduation Year
2021 (5 years ago)
PAC ID
2365838604
Group Practice PAC ID
5799692547
Professional Enrollment ID
I20220413001068
Address ID
KY420387752ED209XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

7,347 NURSE PRACTITIONER in KY

Provider Addresses for SAMANTHA SAMUELS (APRN)

  • 1888 NUNN SWITCH RD

    MARION, KY 420645221

    Phone: (270) 704-1868

    Type: Mailing

  • 308 S MAIN ST

    MARION, KY 420641545

    Phone: (270) 965-4377

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 17 Open Payments records for all available years, with a total value of $336.

Total Amount is formed as General ($336) + Research ($0) + Ownership ($0) = $336.

Last reported payment date: 2024-12-03 • Largest payer in this snapshot: ABBVIE INC. ($167).

Total Amount

$336

General + Research + Ownership

Payments

17

Total payment records

General Amount

$336

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-03

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: 2022-04-13

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220413001068INurse PractitionerKYTBD

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 42064)

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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: 5799692547View full group profile
NameSpecialtyState
Nurse PractitionerKY
Nurse PractitionerKY
Cardiovascular Disease (Cardiology), Internal MedicineKY
Nurse PractitionerKY
Nurse PractitionerKY
P O D I A T R YOH
Nurse PractitionerKY
-KY
Clinical Social WorkerKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

What is the registry number for SAMANTHA SAMUELS (APRN)?
The registry entry for SAMANTHA SAMUELS (APRN) shows NPI 1033867874.
Is SAMANTHA SAMUELS (APRN)'s NPI status active today?
Active status means SAMANTHA SAMUELS (APRN)'s NPI record is not deactivated in the public file.
How should patients interpret SAMANTHA SAMUELS (APRN)'s specialty?
The extract shows Family Nurse Practitioner for SAMANTHA SAMUELS (APRN). Clinical services aligned with this taxonomy classification.
Is SAMANTHA SAMUELS (APRN) tied to Marion, Kentucky?
If you are local to Marion, Kentucky, SAMANTHA SAMUELS (APRN) may be relevant to your search.
Who maintains SAMANTHA SAMUELS (APRN)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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