ANNA R SAMUEL (ACNP) – Acute Care Nurse Practitioner, NPI 1639312671

ANNA R SAMUEL (ACNP) is a healthcare provider. based in Lockhart, Texas. specializing in NURSE PRACTITIONER. They hold the professional credentials ACNP. They hold a License No. 716738 (TX). The NPI Number for ANNA R SAMUEL (ACNP) is 1639312671

Main info

Female
18 Years Of Experience
Accepts Medicare Assignment
Name
ANNA R SAMUEL (ACNP)
NPI
1639312671
Phone
(512) 376-2183
Address
209 S Church St
Enumeration Date
7 April 2009
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4693263400
Graduation Year
2008 (18 years ago)
PAC ID
9931259314
Group Practice PAC ID
1355254210
Professional Enrollment ID
I20140219001599
Address ID
TX750242502PL6601XRDXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:17State licenses:3Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for ANNA R SAMUEL (ACNP)

  • 209 S Church St

    Suite A

    Lockhart, TX 786442713

    Phone: (512) 376-2183

    Fax: (512) 324-3449

    Type: Location

  • 1180 Seton Pkwy Ste 450

    Kyle, TX 786406178

    Phone: (512) 504-0860

    Fax: (512) 504-0861

    Type: Location

  • 6300 W Parker Rd Ste 322

    Plano, TX 750938103

    Phone: (972) 981-7870

    Fax: (972) 981-7886

    Type: Location

  • Pool Road, Ellsworth, Denison, Grayson County, Texas, 75020, United States

    DENISON, TX 750204595

    Phone: (903) 465-3624

    Fax: (903) 465-3973

    Type: Location

  • 5012 S US HIGHWAY 75 STE 300

    DENISON, TX 750204589

    Phone: (903) 465-3624

    Fax: (903) 465-3973

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 45 Open Payments records for all available years, with a total value of $946.

Total Amount is formed as General ($946) + Research ($0) + Ownership ($0) = $946.

Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($401).

Total Amount

$946

General + Research + Ownership

Payments

45

Total payment records

General Amount

$946

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-12

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: 2014-02-19

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
I20140219001599INurse PractitionerTXTBD

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 78644)

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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: 1355254210View full group profile
NameSpecialtyState
Radiation OncologyTX
Nurse PractitionerTX
Internal MedicineTX
-TX
-TX
Clinical Social WorkerTX
-TX
Nurse PractitionerTX
Orthopedic SurgeryTX
Clinical PsychologistTX

Reviews

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Frequently asked questions

Does ANNA R SAMUEL (ACNP) have a public NPI I can cite?
Public records show ANNA R SAMUEL (ACNP) under NPI 1639312671.
Is ANNA R SAMUEL (ACNP)'s NPI status active today?
Active status means ANNA R SAMUEL (ACNP)'s NPI record is not deactivated in the public file.
What type of care does ANNA R SAMUEL (ACNP) provide?
ANNA R SAMUEL (ACNP)'s profile centers on Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Which community is linked to ANNA R SAMUEL (ACNP)?
ANNA R SAMUEL (ACNP) shows a connection to Lockhart, Texas in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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