SAMANTHA M FRY APRN
NPI 1366600694
Nurse Practitioner - Family in Jonesboro, AR

Q: What is Samantha Fry's NPI number?

The NPI number for Samantha Fry is 1366600694. It was assigned to this individual provider in the NPPES registry on May 22, 2008.

Q: What is Samantha Fry's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Samantha Fry was last updated on August 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 22, 2008PECOS Enrolled

225 E WASHINGTON AVE, JONESBORO, AR 72401(870) 207-4388 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Samantha M Fry Aprn NPPES

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

SAMANTHA M FRY APRN (NPI 1366600694) is an individual family provider in Jonesboro, Arkansas, licensed in Arkansas (214515) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jonesboro, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1366600694

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA M FRYCredential: APRN

Location Address225 E WASHINGTON AVEJonesboro, AR 72401-3111

Mailing Address5003 S 27 1/2 StParagould, AR 72450-5297 · (870) 897-5831

Phone(870) 207-4388

Sole ProprietorYes

Medical School CMSOtherGraduated 2020

Enumeration DateMay 22, 2008

Last NPPES UpdateAugust 30, 2021

NPPES CertifiedAugust 30, 2021

✔ NPI 1366600694 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

License✔ Licensed in AR · 214515

225 E WASHINGTON AVE, Jonesboro, AR 72401

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Secondary Practice Location 1

Location 12707 Browns LnJonesboro, AR 72401-7213 · Phone (870) 972-4939 · Fax (870) 972-4911

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 M Fry Aprn is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8527534478

PECOS Enrollment IDI20260417000944

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 72401 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

$79.72 typical visit price

range $51.36 – $157.74

Typical copayment $19.93 (range $12.84 – $39.43)

Most-billed visit code 99203

Established Patient

$91.63 typical visit price

range $16.16 – $128.77

Typical copayment $22.90 (range $4.04 – $32.19)

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.