SAMANTHA LYNN MCCULLOUGH FNP-C
NPI 1003542168
Nurse Practitioner - Family in Owasso, OK
About Samantha Lynn Mccullough Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA LYNN MCCULLOUGH FNP-C (NPI 1003542168) is an individual family provider in Owasso, Oklahoma, licensed in Oklahoma (209493) and active in the NPI registry since July 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Lynn Mccullough Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Mccullough reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tulsa, OK 74136
- Reassigned Medicare billing, Oklahoma enrollment
- 1,144 clinicians in this Medicare group
Coweta, OK 74429
- Reassigned Medicare billing, Oklahoma enrollment
- 30 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 74055 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Mccullough's NPI number?
The NPI number for Samantha Mccullough is 1003542168. It was assigned to this individual provider in the NPPES registry on July 29, 2022.
Where is Samantha Mccullough located?
Samantha Mccullough practices at 10728 N 152nd East Ave, Owasso, OK 74055. The listed phone number is (918) 914-0675.
What is Samantha Mccullough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Mccullough enrolled in Medicare?
Yes. Samantha Mccullough is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samantha Mccullough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Mccullough reassigns Medicare benefits to 2 organizations: Warren Clinic Inc (Tulsa, OK) and Medwise LLC (Coweta, OK). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Mccullough's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Mccullough accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Samantha Mccullough as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Samantha Mccullough was last updated on July 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samantha Lynn Mccullough, FNP-C · NPI 1003542168
Family physician in Owasso, Oklahoma. Individual provider, active in the CMS NPPES registry since July 29, 2022.
## Identity
- **NPI:** 1003542168 (Entity type: Individual)
- **Enumerated:** July 29, 2022
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 209493 (Oklahoma)
- **Sole proprietor:** No
## Practice location
- **Address:** 10728 N 152ND EAST AVE, Owasso, OK 74055-6384
- **Phone:** (918) 914-0675
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Warren Clinic Inc (NPI 1174582282, Tulsa, OK); Medwise LLC (NPI 1629604434, Coweta, OK) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 29, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1003542168) · Data from the CMS NPPES public registry.