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SAMANTHA CAROLE PERNELL
NPI 1104515162
Nurse Practitioner in Henderson, NC

Active since May 04, 2023PECOS EnrolledAccepts Medicare Assignment
511 RUIN CREEK RD, HENDERSON, NC 27536(252) 436-0440 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2023, May 4, 2023 (2 updates tracked since 2023).

About Samantha Carole Pernell NPPES

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

SAMANTHA CAROLE PERNELL (NPI 1104515162) is an individual nurse practitioner in Henderson, North Carolina, licensed in North Carolina (287819) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS, is affiliated with Maria Parham Medical Center, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104515162
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA CAROLE PERNELL
Location Address511 RUIN CREEK RDHenderson, NC 27536-5919
Mailing Address1846 Kittrell RdKittrell, NC 27544-9013 · (125) 243-2797
Phone(252) 436-0440
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 4, 2023
Last NPPES UpdateOctober 3, 20232 updates tracked since enumeration
NPPES CertifiedOctober 3, 2023
✔ NPI 1104515162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in NC · 287819
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
511 RUIN CREEK RD, Henderson, NC 27536
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Samantha Carole Pernell 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.

PECOS PAC ID9739535006
PECOS Enrollment IDI20231023001412
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.

Areas of Expertise CMS Part B claims 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services43 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
38 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
36 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
24 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Maria Parham Medical Center

Acute Care Hospitals · Henderson, NC
2/5 CMS rating
OwnershipProprietary
CMS Certification Number340132
LocationPO Box 59Henderson, NC 27536 · Vance County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27536 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 20

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

DR. SAMUEL G MCCASKILL JR. MD
Obstetrics & Gynecology
511 RUIN CREEK RD
HENDERSON, NC 27536
Vance County (252) 492-8576
RICHARD J. NOEL, DDS,PA
Clinic/Center (Dental)
511 RUIN CREEK RD, SUITE 201
HENDERSON, NC 27536
Vance County (252) 438-8146
SERAFIN PLASTIC SURGERY PLLC
Plastic Surgery
511 RUIN CREEK RD, SUITE 104 B
HENDERSON, NC 27536
Vance County (919) 220-7711
HENDERSON CLINIC FOR WOMEN PA
Legal Medicine
511 RUIN CREEK RD, STE 101
HENDERSON, NC 27536
Vance County (252) 492-8576
DR. VEERAPPAN SUNDAR MD
Internal Medicine
511 RUIN CREEK RD, 203
HENDERSON, NC 27536
Vance County (252) 492-6127
ELIZABETH ANN HOUSTON NP
Nurse Practitioner (Obstetrics & Gynecology)
511 RUIN CREEK RD, STE 101
HENDERSON, NC 27536
Vance County (252) 492-8576
DR. WILLIAM TIPPETT PHARM.D., R.PH
Pharmacist
511 RUIN CREEK RD, STE 102
HENDERSON, NC 27536
Vance County (252) 492-4601
JAMES L HARMON ANP
Internal Medicine (Infectious Disease)
511 RUIN CREEK RD, STE 105
HENDERSON, NC 27536
Vance County (252) 572-2610

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 Pernell's NPI number?

The NPI number for Samantha Pernell is 1104515162. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Where is Samantha Pernell located?

Samantha Pernell practices at 511 Ruin Creek Rd, Henderson, NC 27536. The listed phone number is (252) 436-0440.

What is Samantha Pernell's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Pernell enrolled in Medicare?

Yes. Samantha Pernell 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.

What insurance does Samantha Pernell accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Samantha Pernell 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.

Is Samantha Pernell affiliated with any hospitals?

According to CMS data, Samantha Pernell is affiliated with Maria Parham Medical Center.

When was this NPI record last updated?

The NPPES record for Samantha Pernell was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.