MR. SAMUEL KEATING HARRELL
NPI 1346881000
Nurse Practitioner - Family in Poughkeepsie, NY
About Mr. Samuel Keating Harrell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL KEATING HARRELL (NPI 1346881000) is an individual family provider in Poughkeepsie, New York, licensed in New York (354434) and active in the NPI registry since October 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Samuel Keating Harrell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Samuel Harrell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mount Kisco, NY 10549
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Optum Medical Care PC
- 1,601 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 5
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 12601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
POUGHKEEPSIE, NY 12601
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 Samuel Harrell's NPI number?
The NPI number for Samuel Harrell is 1346881000. It was assigned to this individual provider in the NPPES registry on October 3, 2019.
Where is Samuel Harrell located?
Samuel Harrell practices at 30 Columbia St, Poughkeepsie, NY 12601. The listed phone number is (845) 231-5600.
What is Samuel Harrell's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samuel Harrell enrolled in Medicare?
Yes. Samuel Harrell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Samuel Harrell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Harrell reassigns Medicare benefits to Optum Medical Care, P.C. (Mount Kisco, NY). The 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 Samuel Harrell'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 Samuel Harrell was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.
# Mr. Samuel Keating Harrell · NPI 1346881000
Family physician in Poughkeepsie, New York. Individual provider, active in the CMS NPPES registry since October 3, 2019.
## Identity
- **NPI:** 1346881000 (Entity type: Individual)
- **Enumerated:** October 3, 2019
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 354434 (New York)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 30 COLUMBIA ST, Poughkeepsie, NY 12601-3906
- **Phone:** (845) 231-5600 · **Fax:** (845) 592-7708
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Optum Medical Care, P.C. (NPI 1982643003, Mount Kisco, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1346881000) · Data from the CMS NPPES public registry.