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SAMANTHA JANIECE DOUGLAS APRN, FNP-C
NPI 1801788104
Nurse Practitioner in Mcalester, OK

Active since July 19, 2025Opted out of Medicare · through Aug 12, 2027
601 E CARL ALBERT PKWY, MCALESTER, OK 74501(918) 233-6522 Get Directions Write a Review

NPPES record last updated: July 19, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samantha Janiece Douglas Aprn, Fnp-c NPPES

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

SAMANTHA JANIECE DOUGLAS APRN, FNP-C (NPI 1801788104) is an individual nurse practitioner in Mcalester, Oklahoma, licensed in Oklahoma (224848) and active in the NPI registry since July 2025. She has opted out of Medicare through August 12, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1801788104
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA JANIECE DOUGLASCredential: APRN, FNP-C
Location Address601 E CARL ALBERT PKWYMcalester, OK 74501-5113
Mailing Address2359 Krebs Lake RdMcalester, OK 74501-2773 · (918) 916-7142
Phone(918) 233-6522
Sole ProprietorNo
Enumeration DateJuly 19, 2025
NPPES CertifiedJuly 19, 2025
✔ NPI 1801788104 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 OK · 224848
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.
601 E CARL ALBERT PKWY, Mcalester, OK 74501
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Other Names 1

Former Name (1)Samantha Janiece Long

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Samantha Janiece Douglas Aprn, Fnp-c has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 12, 2025 through August 12, 2027.

Opt-Out Effective DateAugust 12, 2025
Opt-Out In Effect ThroughAugust 12, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 74501 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
$82.46 typical visit price
range $53.00 – $162.61
Typical copayment $20.61 (range $13.25 – $40.65)
Most-billed visit code 99203
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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

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

OKLAHOMANS FOR INDEPENDENT LIVING
Case Management
601 E CARL ALBERT PKWY
MCALESTER, OK 74501
Pittsburg County (918) 426-6220

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 Samantha Douglas's NPI number?

The NPI number for Samantha Douglas is 1801788104. It was assigned to this individual provider in the NPPES registry on July 19, 2025. The provider is also known as Samantha Janiece Long.

Where is Samantha Douglas located?

Samantha Douglas practices at 601 E Carl Albert Pkwy, Mcalester, OK 74501. The listed phone number is (918) 233-6522.

What is Samantha Douglas's specialty?

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

Is Samantha Douglas enrolled in Medicare?

No. Samantha Douglas has opted out of Medicare through August 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Samantha Douglas was last updated on July 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.