MS. SAMANTHA D SIXIEME ANP
NPI 1134427644
Nurse Practitioner - Family in Clarksville, TN

Active since March 08, 2011PECOS Enrolled
2237 LOWES DR W STE A, CLARKSVILLE, TN 37040(931) 272-2446(855) 530-6144 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 26, 2022, May 5, 2022, Jan 25, 2019 (3 updates tracked since 2019).

About Ms. Samantha D Sixieme Anp NPPES

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

MS. SAMANTHA D SIXIEME ANP (NPI 1134427644) is an individual family provider in Clarksville, Tennessee, licensed in Tennessee (15242) and active in the NPI registry since March 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in Portsmouth.

NPPES Registry Identity

NPI1134427644
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. SAMANTHA D SIXIEMECredential: ANP
Location Address2237 LOWES DR W STE AClarksville, TN 37040-6891
Mailing Address2237 Lowes Dr W Ste AClarksville, TN 37040-6891 · (931) 272-2446 · Fax (855) 530-6144
Fax(855) 530-6144
Sole ProprietorNo
Enumeration DateMarch 8, 2011
Last NPPES UpdateMay 26, 20223 updates tracked since enumeration
NPPES CertifiedMay 26, 2022
✔ NPI 1134427644 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
Licenses✔ Licensed in TN · 15242✔ Licensed in VA · 0024171266
2237 LOWES DR W STE A, Clarksville, TN 37040

Secondary Practice Location 1

Location 15829 High St WPortsmouth, VA 23703-4503 · Phone (866) 389-2727 · Fax (401) 652-9787

Other Identifiers 1

MedicaidQ049160TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Samantha D Sixieme Anp 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Samantha Sixieme reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Practice
4055 VALLEY VIEW LN STE 700
Dallas, TX 75244
  • Reassigned Medicare billing, Tennessee enrollment
  • 528 clinicians in this Medicare group
Restoring Health Clinic
  • Reassigned Medicare billing, Tennessee enrollment
  • 6 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.

Areas of Expertise CMS Part B claims

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.
28 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37040 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$93.60 typical visit price
range $16.72 – $131.41
Typical copayment $23.40 (range $4.18 – $32.85)
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.

Nurse Practitioner (Family)
2237 LOWES DR W STE A
CLARKSVILLE, TN 37040
Nurse Practitioner (Family)
2237 LOWES DR W STE A
CLARKSVILLE, TN 37040

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 Sixieme's NPI number?

The NPI number for Samantha Sixieme is 1134427644. It was assigned to this individual provider in the NPPES registry on March 8, 2011.

Where is Samantha Sixieme located?

Samantha Sixieme practices at 2237 Lowes Dr W Ste A, Clarksville, TN 37040. The listed phone number is (931) 272-2446.

What is Samantha Sixieme's specialty?

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

Is Samantha Sixieme enrolled in Medicare?

Yes. Samantha Sixieme is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Samantha Sixieme's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Sixieme reassigns Medicare benefits to 2 organizations: Signify Health Medical Associates, PLLC (Dallas, TX) and Restoring Health Clinic (TN). Each 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 Sixieme's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samantha Sixieme was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.