MR. SAMUEL ARCHINO JR. FNP-BC
NPI 1649005877
Nurse Practitioner in Jacksonville, NC
About Mr. Samuel Archino Jr. Fnp-bc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. SAMUEL ARCHINO JR. FNP-BC (NPI 1649005877) is an individual nurse practitioner in Jacksonville, North Carolina, licensed in North Carolina (5020874) and active in the NPI registry since September 2024. He is enrolled in Medicare PECOS, is affiliated with Onslow Memorial Hospital, and maintains a secondary practice location in Wilmington.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
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 Archino Jr. Fnp-bc 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 Reassignments
3Medicare enrollment records show Samuel Archino reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Jacksonville, NC 28546
- Reassigned Medicare billing, North Carolina enrollment
- 108 clinicians in this Medicare group
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 92 clinicians in this Medicare group
Wilmington, NC 28403
- Reassigned Medicare billing, North Carolina enrollment
- 46 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Onslow Memorial Hospital
Acute Care Hospitals · Jacksonville, NCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 28546 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.
JACKSONVILLE, NC 28546
JACKSONVILLE, NC 28546
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 Archino's NPI number?
The NPI number for Samuel Archino is 1649005877. It was assigned to this individual provider in the NPPES registry on September 6, 2024.
Where is Samuel Archino located?
Samuel Archino practices at 317 Western Blvd, Jacksonville, NC 28546. The listed phone number is (910) 577-2345.
What is Samuel Archino's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samuel Archino enrolled in Medicare?
Yes. Samuel Archino 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 organizations bill Medicare for Samuel Archino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Archino reassigns Medicare benefits to 3 organizations: Tarheel Emergency Group, PLLC (Jacksonville, NC), Lifesource Of North Carolina (Wilmington, NC) and Lifesource Prime Inc (Wilmington, NC). Each 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 Archino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samuel Archino accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC and 1 other insurer list Samuel Archino 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.
Is Samuel Archino affiliated with any hospitals?
According to CMS data, Samuel Archino is affiliated with Onslow Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Samuel Archino was last updated on April 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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 Archino Jr., FNP-BC · NPI 1649005877
Nurse Practitioner physician in Jacksonville, North Carolina. Individual provider, active in the CMS NPPES registry since September 6, 2024.
## Identity
- **NPI:** 1649005877 (Entity type: Individual)
- **Enumerated:** September 6, 2024
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 5020874 (North Carolina)
- **Sole proprietor:** No
## Practice location
- **Address:** 317 WESTERN BLVD, Jacksonville, NC 28546-6338
- **Phone:** (910) 577-2345
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Tarheel Emergency Group, PLLC (NPI 1386388874, Jacksonville, NC); Lifesource Of North Carolina (NPI 1811286156, Wilmington, NC); Lifesource Prime Inc (NPI 1598533275, Wilmington, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2024
## Record status
- **NPPES last updated:** April 17, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1649005877) · Data from the CMS NPPES public registry.