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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

SAMANTHA GRACE BOREN PMHNP-BC
NPI 1245910298
Nurse Practitioner - Psychiatric/Mental Health in Tupelo, MS

Active since July 24, 2023PECOS Enrolled
609 BRUNSON DR STE B, TUPELO, MS 38801(662) 432-1097(833) 707-1951 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 8, 2026, Aug 25, 2023, Jul 24, 2023 (3 updates tracked since 2023).

About Samantha Grace Boren Pmhnp-bc NPPES

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

SAMANTHA GRACE BOREN PMHNP-BC (NPI 1245910298) is an individual psychiatric/mental health provider in Tupelo, Mississippi, licensed in Mississippi (BORE-TLLM8M) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1245910298
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA GRACE BORENCredential: PMHNP-BC
Location Address609 BRUNSON DR STE BTupelo, MS 38801-4948
Mailing AddressPo Box 480Corinth, MS 38835-0480 · (662) 432-1097 · Fax (833) 707-1951
Phone(662) 432-1097
Fax(833) 707-1951
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateJuly 24, 2023
Last NPPES UpdateJuly 8, 20263 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1245910298 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 MS · BORE-TLLM8M
609 BRUNSON DR STE B, Tupelo, MS 38801
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Plan, Inc., 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 (PECOS)

Samantha Grace Boren Pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4587009501
PECOS Enrollment IDI20240229003036
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 2

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 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.
29 services14 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.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 38801 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
$80.50 typical visit price
range $51.65 – $159.18
Typical copayment $20.12 (range $12.91 – $39.79)
Most-billed visit code 99203
Established Patient
$92.20 typical visit price
range $16.15 – $129.61
Typical copayment $23.05 (range $4.03 – $32.40)
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 3

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

AMANDA LEIGH MARTIN FNP
Nurse Practitioner (Psychiatric/Mental Health)
609 BRUNSON DR STE B
TUPELO, MS 38801
Lee County (662) 432-1097
MRS. TAMAR JONES LUCAS PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
609 BRUNSON DR STE B
TUPELO, MS 38801
Lee County (662) 322-1818
THE CHADWICK CLINIC LLC
Nurse Practitioner (Psychiatric/Mental Health)
609 BRUNSON DR STE B
TUPELO, MS 38801
Lee County (662) 432-1097

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 Boren's NPI number?

The NPI number for Samantha Boren is 1245910298. It was assigned to this individual provider in the NPPES registry on July 24, 2023.

Where is Samantha Boren located?

Samantha Boren practices at 609 Brunson Dr Ste B, Tupelo, MS 38801. The listed phone number is (662) 432-1097.

What is Samantha Boren's specialty?

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

Is Samantha Boren enrolled in Medicare?

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

What insurance does Samantha Boren accept?

Health plans from Oscar Health Plan, Inc. and UnitedHealthcare list Samantha Boren 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 Boren was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days 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.