SAMONE G WEATHERLY (FNP-C) – Family Nurse Practitioner, NPI 1942828678
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
22,440 NURSE PRACTITIONER in TX
Provider Addresses for SAMONE G WEATHERLY (FNP-C)
106 HODGE ST
SULPHUR SPRINGS, TX 754824321
Phone: (903) 885-2911
Type: Location
886 E Lennon Dr Ste 105
Emory, TX 754403214
Phone: (903) 476-2060
Fax: (903) 473-2686
Type: Location
3206 Interstate 30
Suite B
Greenville, TX 75402
Phone: (903) 408-7979
Fax: (903) 454-2734
Type: Location
1110 E AUSTIN ST
PARIS, TX 754600411
Phone: (903) 785-6156
Type: Location
531 RS COUNTY ROAD 4410
POINT, TX 754725541
Phone: (903) 438-6108
Type: Mailing
501 AIR PARK AVE
GREENVILLE, TX 754023000
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
1705 LIVE OAK ST
COMMERCE, TX 754282551
Phone: (903) 886-8813
Fax: (903) 886-8765
Type: Location
106 Hodge St
Sulphur Springs, TX 754824321
Phone: (903) 885-2911
Type: Location
4215 JOE RAMSEY BLVD E
GREENVILLE, TX 754017852
Phone: (903) 408-5834
Fax: (903) 408-5693
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 50 Open Payments records for all available years, with a total value of $929.
Total Amount is formed as General ($929) + Research ($0) + Ownership ($0) = $929.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($181).
Total Amount
$929
General + Research + Ownership
Payments
50
Total payment records
General Amount
$929
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2020-11-13
PECOS data refreshed: 2026-06-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20201113001295 | I | Nurse Practitioner | TX | TBD |
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.
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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 221 | 187 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 210 | 40 | $0 |
| 87804 | Detection test by immunoassay with direct visual observation for influenza virus | 117 | 57 | $0 |
| 96372 | Injection of drug or substance under skin or into muscle | 90 | 56 | $0 |
| 87426 | Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus | 67 | 62 | $0 |
Insurance plans in this area (ZIP 75482)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Physician Assistant | TX |
Reviews
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