STACY SAMUEL PMHNP
NPI 1609685452
Nurse Practitioner - Psychiatric/Mental Health in Houston, TX

Q: What is Stacy Samuel's NPI number?

The NPI number for Stacy Samuel is 1609685452. It was assigned to this individual provider in the NPPES registry on January 6, 2025.

Q: What is Stacy Samuel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Stacy Samuel was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since January 06, 2025PECOS Enrolled

7601 FANNIN ST, HOUSTON, TX 77054(713) 715-4297 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 4, 2025, Jan 6, 2025 (2 updates tracked since 2025).

On this page

About Stacy Samuel Pmhnp NPPES

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

STACY SAMUEL PMHNP (NPI 1609685452) is an individual psychiatric/mental health provider in Houston, Texas, licensed in Texas (1182151) and active in the NPI registry since January 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1609685452

Entity TypeIndividualFemale

Primary Taxonomy363LP0808X

Provider Legal NameSTACY SAMUELCredential: PMHNP

Location Address7601 FANNIN STHouston, TX 77054-1905

Mailing Address4413 Bora Bora LnHouston, TX 77045-1735 · (832) 290-8518

Phone(713) 715-4297

Sole ProprietorNo

Medical School CMSOtherGraduated 2024

Enumeration DateJanuary 6, 2025

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1609685452 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 TX · 1182151

7601 FANNIN ST, Houston, TX 77054

Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Stacy Samuel Pmhnp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8820580152

PECOS Enrollment IDI20251125000303

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.

Medicare Billing Reassignment

Medicare enrollment records show Stacy Samuel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

United Psychiatry Institute, LLC

9.2 mi

Child & Adolescent Psychiatry

9898 BISSONNET ST STE 362
Houston, TX 77036

Reassigned Medicare billing, Texas enrollment
10 clinicians in this Medicare group

NPI 1689913279 (713) 429-5325

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77054 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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 18

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

SUN HOUSTON, LLC

Psychiatric Hospital