SAMARA MARIE WILLIAMSON AGNP-C
NPI 1285389304
Nurse Practitioner - Gerontology in Chesterfield, MO

Q: What is Samara Williamson's NPI number?

The NPI number for Samara Williamson is 1285389304. It was assigned to this individual provider in the NPPES registry on February 17, 2022.

Q: What is Samara Williamson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

Q: When was this NPI record last updated?

The NPPES record for Samara Williamson was last updated on February 17, 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.

Active since February 17, 2022PECOS Enrolled

15740 S OUTER 40 RD, CHESTERFIELD, MO 63017(636) 237-4700 Get Directions Write a Review

NPPES record last updated: February 17, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Samara Marie Williamson Agnp-c NPPES

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

SAMARA MARIE WILLIAMSON AGNP-C (NPI 1285389304) is an individual gerontology provider in Chesterfield, Missouri, licensed in Missouri (2022005952) and active in the NPI registry since February 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1285389304

Entity TypeIndividualFemale

Primary Taxonomy363LG0600X

Provider Legal NameSAMARA MARIE WILLIAMSONCredential: AGNP-C

Location Address15740 S OUTER 40 RDChesterfield, MO 63017-2004

Mailing Address17 Marianne DrSaint Peters, MO 63376-2201 · (740) 502-8203

Phone(636) 237-4700

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateFebruary 17, 2022

NPPES CertifiedFebruary 8, 2022

✔ NPI 1285389304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code363LG0600X

License✔ Licensed in MO · 2022005952

15740 S OUTER 40 RD, Chesterfield, MO 63017

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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)

Samara Marie Williamson Agnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1153717020

PECOS Enrollment IDI20260413000764, I20260429002937, I20260429004397

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 63017 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

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 20

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

MRS. ELIZABETH ANN CURTIS FNP-C

Nurse Practitioner (Family)