SAMUEL PULLEN FNP-C
NPI 1013841915
Nurse Practitioner - Family in Charleston, MS
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 and is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
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
Samuel Pullen 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 Reassignment
Medicare enrollment records show Samuel Pullen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tutwiler, MS 38963
- Reassigned Medicare billing, Mississippi enrollment
- 26 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.
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.
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.
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samuel Pullen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Pullen reassigns Medicare benefits to Tallahatchie General Hospital (Tutwiler, MS). The 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 Samuel Pullen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Pullen accept?
Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter of Alabama and Ambetter of Tennessee and 3 other insurers list Samuel Pullen 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 Samuel Pullen was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Samuel Pullen, FNP-C · NPI 1013841915
Family physician in Charleston, Mississippi. Individual provider, active in the CMS NPPES registry since June 9, 2026.
## Identity
- **NPI:** 1013841915 (Entity type: Individual)
- **Enumerated:** June 9, 2026
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** F06260549 (Mississippi)
- **Sole proprietor:** No
## Practice location
- **Address:** 171 DR TT LEWIS CIR, Charleston, MS 38921-2400
- **Phone:** (662) 607-5529
## 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:** Tallahatchie General Hospital (NPI 1609322205, Tutwiler, MS), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** June 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1013841915) · Data from the CMS NPPES public registry.