SAMANTHA S MOODY (APRN) – Women's Health Nurse Practitioner, NPI 1609879592

SAMANTHA S MOODY (APRN) is a healthcare provider. based in Hermitage, Tennessee. specializing in NURSE PRACTITIONER. They hold the professional credentials APRN. They hold a License No. 7886 (TN). The NPI Number for SAMANTHA S MOODY (APRN) is 1609879592

Main info

Female
27 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA S MOODY (APRN)
NPI
1609879592
Phone
(615) 467-6178
Address
5653 FRIST BLVD STE 339
Enumeration Date
24 May 2005
Last Update Date
12 December 2025

Doctor Profile

Medical School Name
VANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
6153225000
Graduation Year
1999 (27 years ago)
PAC ID
0446591044
Group Practice PAC ID
5092023416
Professional Enrollment ID
I20190409000975
Address ID
TN372320028NA1301XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:21State licenses:1Digital endpointsOther names

10,656 NURSE PRACTITIONER in TN

Loading map...

Provider Addresses for SAMANTHA S MOODY (APRN)

  • Frist Boulevard, Hermitage Woods, Nashville, Davidson County, Tennessee, 37076, United States

    HERMITAGE, TN 370762064

    Phone: (615) 467-6178

    Fax: (615) 885-4308

    Type: Mailing

  • Jackson Downs Boulevard, Nashville, Davidson County, Tennessee, 37214, United States

    NASHVILLE, TN 372142300

    Phone: (615) 467-6178

    Type: Location

  • 2215 Jackson Downs Blvd

    Nashville, TN 372142300

    Phone: (615) 467-6178

    Type: Location

  • 3841 GREEN HILLS VILLAGE DR STE 200

    NASHVILLE, TN 372152691

    Phone: (615) 322-6842

    Type: Mailing

  • 3601 THE VANDERBILT CLINIC

    NASHVILLE, TN 372320001

    Phone: (615) 322-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 48 Open Payments records for all available years, with a total value of $941.

Total Amount is formed as General ($941) + Research ($0) + Ownership ($0) = $941.

Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($312).

Total Amount

$941

General + Research + Ownership

Payments

48

Total payment records

General Amount

$941

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-13

Latest reported date

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: 2019-04-09

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
I20190409000975INurse 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 37076)

Loading plans...

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: 5092023416View full group profile
NameSpecialtyState
Diagnostic RadiologyTN
Pediatric MedicineTN
-TN
-TN
Diagnostic Radiology, Interventional Pain ManagementTN
Certified Registered Nurse Anesthetist (Crna)TN
N E U R O L O G YTN
-TN
Physician AssistantTN
Internal MedicineTN

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to SAMANTHA S MOODY (APRN)?
The federal identifier for SAMANTHA S MOODY (APRN) is NPI 1609879592.
Does this profile mean SAMANTHA S MOODY (APRN) is currently active?
Yes — SAMANTHA S MOODY (APRN) appears active in the national provider directory.
What kind of provider is SAMANTHA S MOODY (APRN)?
The page reflects Women's Health Nurse Practitioner for SAMANTHA S MOODY (APRN). Clinical services aligned with this taxonomy classification.
Where is SAMANTHA S MOODY (APRN)'s primary listing?
We display Hermitage, Tennessee because that is what the record indicates for SAMANTHA S MOODY (APRN).
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

Similar Providers

MACI MICHELLE KOEHNER (APRN)

Women's Health Nurse Practitioner
2201 Murphy Ave
NPI: 1447967039

MRS. SARAH LYNN NEHRING (WHNP-BC)

Women's Health Nurse Practitioner
353 New Shackle Island Rd Ste 226B
NPI: 1679281844

SHERRI JUNELL THOMAS (WHNP)

Women's Health Nurse Practitioner
103 DURSLEY LN
NPI: 1124726773