NELLIE IDARA SAMUEL (MSN, APRN,PMHNP-BC) – Psychiatric/Mental Health Nurse Practitioner, NPI 1821344557
Psychiatric/Mental Health Nurse Practitioner
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for NELLIE IDARA SAMUEL (MSN, APRN,PMHNP-BC)
273 PROVIDENCE BLVD
MACON, GA 312107565
Phone: (865) 765-8225
Type: Mailing
1011 POST DRIVE
P O BOX 6250
SALINAS, CA 93912
Phone: (865) 765-8225
Type: Mailing
2400 NORTHSIDE XING
MACON, GA 312102252
Phone: (865) 765-8225
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $269.
Total Amount is formed as General ($269) + Research ($0) + Ownership ($0) = $269.
Last reported payment date: 2024-05-09 • Largest payer in this snapshot: ABBVIE INC. ($164).
Total Amount
$269
General + Research + Ownership
Payments
13
Total payment records
General Amount
$269
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $164 |
| ITI, Inc. | $67 |
| Alkermes, Inc. | $26 |
| Vanda Pharmaceuticals Inc. | $13 |
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: 2018-03-01
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20180301000886 | I | Nurse Practitioner | AZ | 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 |
|---|---|---|---|---|
| 96127 | Assessment of emotional or behavioral problems | 122 | 17 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 69 | 17 | $0 |
| 90837 | Psychotherapy, 1 hour | 40 | 19 | $0 |
| 90791 | Psychiatric diagnostic evaluation | 26 | 25 | $0 |
| 90792 | Psychiatric diagnostic evaluation with medical services | 11 | 11 | $0 |
Insurance plans in this area (ZIP 31210)
Loading plans...
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.