SAMANTHA PURDY CPNP-PC
NPI 1114437290
Nurse Practitioner - Pediatrics in Graham, TX
About Samantha Purdy Cpnp-pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA PURDY CPNP-PC (NPI 1114437290) is an individual pediatrics provider in Graham, Texas, licensed in Texas (AP135309) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.
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 (PECOS)
Samantha Purdy Cpnp-pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Samantha Purdy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Olney, TX 76374
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1134137466 (Texas)
- 24 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 76450 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 7
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 Samantha Purdy's NPI number?
The NPI number for Samantha Purdy is 1114437290. It was assigned to this individual provider in the NPPES registry on October 3, 2017.
Where is Samantha Purdy located?
Samantha Purdy practices at 1005 State Highway 16 S, Graham, TX 76450. The listed phone number is (940) 282-2512.
What is Samantha Purdy's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Samantha Purdy enrolled in Medicare?
Yes. Samantha Purdy is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Samantha Purdy's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Purdy reassigns Medicare benefits to Olney Hamilton Hospital District (Olney, TX). 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 Samantha Purdy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Purdy accept?
Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Samantha Purdy 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 Purdy was last updated on October 3, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 Purdy, CPNP-PC · NPI 1114437290
Pediatrics physician in Graham, Texas. Individual provider, active in the CMS NPPES registry since October 3, 2017.
## Identity
- **NPI:** 1114437290 (Entity type: Individual)
- **Enumerated:** October 3, 2017
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** AP135309 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1005 STATE HIGHWAY 16 S, Graham, TX 76450-3835
- **Phone:** (940) 282-2512
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Olney Hamilton Hospital District (NPI 1801158787, Olney, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 3, 2017
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Source: [NPI Profile](https://npiprofile.com/npi/1114437290) · Data from the CMS NPPES public registry.