SAMARA D HARRELL (DNP, FNP) – Family Nurse Practitioner, NPI 1306285986
Family Nurse Practitioner
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
7,017 NURSE PRACTITIONER in MO
Provider Addresses for SAMARA D HARRELL (DNP, FNP)
670 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 631418573
Phone: (314) 953-6801
Fax: (314) 953-6819
Type: Mailing
1225 GRAHAM RD STE C-2320
FLORISSANT, MO 630318030
Phone: (314) 953-6801
Fax: (314) 953-6819
Type: Location
1225 Graham Rd Ste C-2320
Florissant, MO 630318030
Phone: (314) 953-6801
Fax: (314) 953-6819
Type: Location
5471 Dr Martin Luther King Dr
Saint Louis, MO 631124265
Phone: (314) 367-5820
Fax: (314) 367-7010
Type: Location
7451A N Lindbergh Blvd
Hazelwood, MO 630422120
Phone: (314) 921-2950
Type: Location
7451A N LINDBERGH BLVD
HAZELWOOD, MO 630422120
Phone: (314) 921-2950
Type: Mailing
660 MASON RIDGE CENTER DR STE 300
SAINT LOUIS, MO 631418512
Phone: (314) 463-6950
Fax: (314) 996-7658
Type: Mailing
660 MASON RIDGE CENTER DR
SAINT LOUIS, MO 631418509
Phone: (314) 273-6481
Fax: (314) 273-6481
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 59 Open Payments records for all available years, with a total value of $1,071.
Total Amount is formed as General ($1,071) + Research ($0) + Ownership ($0) = $1,071.
Last reported payment date: 2024-07-04 • Largest payer in this snapshot: ABBVIE INC. ($220).
Total Amount
$1,071
General + Research + Ownership
Payments
59
Total payment records
General Amount
$1,071
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-07-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $220 |
| Lilly USA, LLC | $190 |
| Amgen Inc. | $156 |
| PFIZER INC. | $54 |
| Novo Nordisk Inc | $49 |
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: 2014-07-24
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1044 days ago).
Enrollment records
1
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20140724000723 | I | Nurse Practitioner | MO | 2023-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 52 | 29 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 21 | 21 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
| 90686 | Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage | 11 | 11 | $0 |
Insurance plans in this area (ZIP 63141)
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Group practice members
- 1
- 2
- 3
- 4
| Name | Specialty | State |
|---|---|---|
| - | MO | |
| - | MO | |
| Family Practice | MO | |
| Hospitalist, Family Practice | MO | |
| Internal Medicine | MO | |
| - | MO | |
| Family Practice | MO | |
| Internal Medicine | IL | |
| Internal Medicine, Hospitalist | MO | |
| Nurse Practitioner | MO |
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