SAMANTHA NICOLE LANSFORD (FNP-C) – Family Nurse Practitioner, NPI 1407377641

SAMANTHA NICOLE LANSFORD (FNP-C) is a healthcare provider. based in Gray, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials FNP-C. They hold a License No. 23138 (TN). The NPI Number for SAMANTHA NICOLE LANSFORD (FNP-C) is 1407377641

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA NICOLE LANSFORD (FNP-C)
NPI
1407377641
Phone
(423) 794-3142
Address
2103 Forest Dr Ste 5
Enumeration Date
28 June 2017
Last Update Date
2 April 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4232667721
Graduation Year
2017 (9 years ago)
PAC ID
6204194988
Group Practice PAC ID
0244579290
Professional Enrollment ID
I20180102000194
Address ID
TN374021916CH709XXSTXX300
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

10,656 NURSE PRACTITIONER in TN

Provider Addresses for SAMANTHA NICOLE LANSFORD (FNP-C)

  • 2103 Forest Dr Ste 5

    Gray, TN 376158423

    Phone: (423) 794-3142

    Fax: (423) 794-3184

    Type: Location

  • 1326 PAPERMILL POINTE WAY

    KNOXVILLE, TN 379091903

    Phone: (865) 219-3506

    Type: Mailing

  • 1342 PAPERMILL POINTE WAY

    KNOXVILLE, TN 37909

    Phone: (865) 673-5000

    Fax: (865) 588-5711

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $137.

Total Amount is formed as General ($137) + Research ($0) + Ownership ($0) = $137.

Last reported payment date: 2024-10-17 • Largest payer in this snapshot: Boston Scientific Corporation ($137).

Total Amount

$137

General + Research + Ownership

Payments

6

Total payment records

General Amount

$137

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-17

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: 2018-01-02

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
I20180102000194INurse PractitionerTNTBD

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 37615)

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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: 0244579290View full group profile
NameSpecialtyState
Nurse PractitionerTN
Family PracticeGA
Internal MedicineTN
Internal MedicineSC
Internal MedicineWI
Nurse PractitionerTN
Physician AssistantNC
Internal MedicineTN
Internal MedicineIN

Reviews

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Frequently asked questions

Is SAMANTHA NICOLE LANSFORD (FNP-C) listed with a National Provider Identifier?
Yes — SAMANTHA NICOLE LANSFORD (FNP-C) has NPI 1407377641 on file in the registry.
Is SAMANTHA NICOLE LANSFORD (FNP-C) still an active registrant?
SAMANTHA NICOLE LANSFORD (FNP-C) carries an active NPI according to the public dataset.
What expertise is attributed to SAMANTHA NICOLE LANSFORD (FNP-C)?
SAMANTHA NICOLE LANSFORD (FNP-C)'s specialty line reads Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is SAMANTHA NICOLE LANSFORD (FNP-C) located near Gray?
SAMANTHA NICOLE LANSFORD (FNP-C) currently maps to Gray, Tennessee in this extract.
Can I trust this NPI listing for SAMANTHA NICOLE LANSFORD (FNP-C)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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