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SAMANTHA ADELYNNE KHARASCH
NPI 1134930811
Nurse Practitioner - Psychiatric/Mental Health in Mt Juliet, TN

Active since January 14, 2025PECOS Enrolled
820 N MOUNT JULIET RD STE 220, MT JULIET, TN 37122(310) 429-1833 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Adelynne Kharasch NPPES

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

SAMANTHA ADELYNNE KHARASCH (NPI 1134930811) is an individual psychiatric/mental health provider in Mt Juliet, Tennessee, licensed in Tennessee (39751) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2025).

NPPES Registry Identity

NPI1134930811
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA ADELYNNE KHARASCH
Location Address820 N MOUNT JULIET RD STE 220Mt Juliet, TN 37122-4186
Mailing Address607 51st Ave NNashville, TN 37209-2124 · (310) 429-1833
Phone(310) 429-1833
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 2025
Enumeration DateJanuary 14, 2025
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1134930811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in TN · 39751
820 N MOUNT JULIET RD STE 220, Mt Juliet, TN 37122
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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 Adelynne Kharasch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9032697990
PECOS Enrollment IDI20260202000781
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 37122 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 4

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

MEGAN JANE STEINMETZ RN
Nurse Practitioner (Psychiatric/Mental Health)
820 N MOUNT JULIET RD STE 220
MT JULIET, TN 37122
Wilson County (615) 208-2908
DANA FRARY LPC-MHSP
Counselor (Professional)
820 N MOUNT JULIET RD STE 220
MT JULIET, TN 37122
Wilson County (888) 274-5066
NANDITA MIRIAM THOMPSON M.A., LPC, NCC, RPT
Counselor (Mental Health)
820 N MOUNT JULIET RD STE 220
MT JULIET, TN 37122
Wilson County (615) 757-9983
ELIZABETH ANN SARVER LPC-MHSP
Counselor (Professional)
820 N MOUNT JULIET RD STE 220
MT JULIET, TN 37122
Wilson County (615) 757-9983

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 Kharasch's NPI number?

The NPI number for Samantha Kharasch is 1134930811. It was assigned to this individual provider in the NPPES registry on January 14, 2025.

Where is Samantha Kharasch located?

Samantha Kharasch practices at 820 N Mount Juliet Rd Ste 220, Mt Juliet, TN 37122. The listed phone number is (310) 429-1833.

What is Samantha Kharasch's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Kharasch enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Samantha Kharasch was last updated on October 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.