SAMANTHA PURDY CPNP-PC
NPI 1114437290
Nurse Practitioner - Pediatrics in Graham, TX

Q: 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.

Q: What is Samantha Purdy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Purdy was last updated on October 3, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 03, 2017PECOS Enrolled

1005 STATE HIGHWAY 16 S, GRAHAM, TX 76450(940) 282-2512 Get Directions Write a Review

NPPES record last updated: October 3, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1114437290

Entity TypeIndividualFemale

Primary Taxonomy363LP0200X

Provider Legal NameSAMANTHA PURDYCredential: CPNP-PC

Location Address1005 STATE HIGHWAY 16 SGraham, TX 76450-3835

Mailing Address158 Country Club DrGraham, TX 76450-2023 · (817) 706-5165

Phone(940) 282-2512

Sole ProprietorNo

Enumeration DateOctober 3, 2017

✔ NPI 1114437290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0200X

License✔ Licensed in TX · AP135309

1005 STATE HIGHWAY 16 S, Graham, TX 76450

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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)

Samantha Purdy Cpnp-pc 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 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.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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.

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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.

JACK COUNTY HOSPITAL DISTRICT

Clinic/Center (Rural Health)