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SAMUEL PULLEN FNP-C
NPI 1013841915
Nurse Practitioner - Family in Charleston, MS

Active since June 09, 2026PECOS Enrolled
171 DR TT LEWIS CIR, CHARLESTON, MS 38921(662) 607-5529 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samuel Pullen Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMUEL PULLEN FNP-C (NPI 1013841915) is an individual family provider in Charleston, Mississippi, licensed in Mississippi (F06260549) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013841915
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL PULLENCredential: FNP-C
Location Address171 DR TT LEWIS CIRCharleston, MS 38921-2400
Mailing Address254 County Road 10Tillatoba, MS 38961-2749 · (662) 607-5529
Phone(662) 607-5529
Sole ProprietorNo
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1013841915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MS · F06260549
171 DR TT LEWIS CIR, Charleston, MS 38921
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Pullen Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38921 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KELSEY MARTER FAULKNER
Nurse Practitioner (Family)
171 DR TT LEWIS CIR
CHARLESTON, MS 38921
Tallahatchie County (662) 647-5816
DR. JOSEPH ANDREW KORDSMEIER DO
Internal Medicine
171 DR TT LEWIS CIR
CHARLESTON, MS 38921
Tallahatchie County (662) 647-5535

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 Samuel Pullen's NPI number?

The NPI number for Samuel Pullen is 1013841915. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Samuel Pullen located?

Samuel Pullen practices at 171 Dr Tt Lewis Cir, Charleston, MS 38921. The listed phone number is (662) 607-5529.

What is Samuel Pullen's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Pullen enrolled in Medicare?

Yes. Samuel Pullen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Pullen was last updated on June 9, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.