MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) – Family Nurse Practitioner, NPI 1336630888

MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) is a healthcare provider. based in Del city, Oklahoma. specializing in NURSE PRACTITIONER. They hold the professional credentials DNP, FNP-C. They hold a License No. R0109634 (OK). The NPI Number for MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) is 1336630888

Main info

Female
8 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C)
NPI
1336630888
Phone
(405) 464-7207
Address
4600 SE 29TH ST STE 750
Enumeration Date
21 May 2018
Last Update Date
22 February 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4057494205
Graduation Year
2018 (8 years ago)
PAC ID
8325391311
Group Practice PAC ID
1153468921
Professional Enrollment ID
I20181020000640
Address ID
OK731209322OK4120XRDXX404
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:8State licenses:1Digital endpointsOther names

3,299 NURSE PRACTITIONER in OK

Provider Addresses for MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C)

  • 4600 SE 29TH ST STE 750

    DEL CITY, OK 731153407

    Phone: (405) 464-7207

    Type: Mailing

  • 4120 W MEMORIAL RD STE 102

    OKLAHOMA CITY, OK 731209322

    Phone: (405) 749-4205

    Fax: (405) 749-4248

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 453 Open Payments records for all available years, with a total value of $9,478.

Total Amount is formed as General ($9,478) + Research ($0) + Ownership ($0) = $9,478.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: ACADIA Pharmaceuticals Inc ($1,415).

Total Amount

$9,478

General + Research + Ownership

Payments

453

Total payment records

General Amount

$9,478

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-20

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: 2018-10-20

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
I20181020000640INurse PractitionerOKTBD

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
J0587Injection, rimabotulinumtoxinb, 100 units3,79936$0
J0588Injection, incobotulinumtoxin a, 1 unit3,42521$0
J0585Injection, onabotulinumtoxina, 1 unit3,10013$0
99214Established patient office or other outpatient visit, 30-39 minutes901609$0
99215Established patient office or other outpatient visit, 40-54 minutes159141$0
View full utilization report →

Insurance plans in this area (ZIP 73115)

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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: 1153468921View full group profile

Reviews

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Frequently asked questions

What is the 10-digit NPI for MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C)?
MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) — NPI 1336630888 — is the standard way to identify this listing.
Does the file indicate MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) is practicing under active NPI?
Directory data currently reports MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) as active.
What is MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) best known for clinically?
Directory data describes MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) with Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What area does MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) serve?
MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C)'s listing highlights Del City, Oklahoma; more addresses can appear in NPPES.
Why does MRS. JULIA MARY JOHN SAMUEL (DNP, FNP-C) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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