ANGEL SAMUEL APRN
NPI 1699224766
Nurse Practitioner in Little Rock, AR

Q: What is Angel Samuel's NPI number?

The NPI number for Angel Samuel is 1699224766. It was assigned to this individual provider in the NPPES registry on September 29, 2016.

Q: What is Angel Samuel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Angel Samuel was last updated on April 5, 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 September 29, 2016PECOS EnrolledAccepts Medicare Assignment

108 N SHACKLEFORD RD, LITTLE ROCK, AR 72211(501) 712-2571 Get Directions Write a Review

NPPES record last updated: April 5, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 5, 2022, Sep 29, 2016 (2 updates tracked since 2016).

On this page

About Angel Samuel Aprn NPPES

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

ANGEL SAMUEL APRN (NPI 1699224766) is an individual nurse practitioner in Little Rock, Arkansas, licensed in Arkansas (A004889) and active in the NPI registry since September 2016. She is enrolled in Medicare PECOS, is affiliated with Christus St Michael Health System, and maintains a secondary practice location in Batesville.

NPPES Registry Identity

NPI1699224766

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameANGEL SAMUELCredential: APRN

Location Address108 N SHACKLEFORD RDLittle Rock, AR 72211-2840

Mailing Address108 N Shackleford RdLittle Rock, AR 72211-2840 · (501) 712-2571

Phone(501) 712-2571

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateSeptember 29, 2016

Last NPPES UpdateApril 5, 20222 updates tracked since enumeration

NPPES CertifiedApril 5, 2022

✔ NPI 1699224766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in AR · A004889

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

108 N SHACKLEFORD RD, Little Rock, AR 72211

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Secondary Practice Location 1

Location 11700 Harrison StBatesville, AR 72501-7316 · Phone (870) 262-6155 · Fax (870) 262-6152

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Angel Samuel Aprn 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.

PECOS PAC ID7416235783

PECOS Enrollment IDI20250724002222

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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Christus St Michael Health System

Acute Care Hospitals · Texarkana, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number450801

Location2600 St Michael DrTexarkana, TX 75503 · Bowie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 72211 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.

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.

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