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NELLIE IDARA SAMUEL MSN, APRN,PMHNP-BC
NPI 1821344557
Nurse Practitioner - Psychiatric/Mental Health in Macon, GA

Active since July 31, 2012PECOS Enrolled
2400 NORTHSIDE XING, MACON, GA 31210(865) 765-8225 Get Directions Write a Review

NPPES record last updated: December 28, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2020, May 16, 2016 (2 updates tracked since 2016).

About Nellie Idara Samuel Msn, Aprn,pmhnp-bc NPPES

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

NELLIE IDARA SAMUEL MSN, APRN,PMHNP-BC (NPI 1821344557) is an individual psychiatric/mental health provider in Macon, Georgia, licensed in Georgia (RN225022) and active in the NPI registry since July 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821344557
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameNELLIE IDARA SAMUELCredential: MSN, APRN,PMHNP-BC
Location Address2400 NORTHSIDE XINGMacon, GA 31210-2252
Mailing Address1011 Post Drive, P O Box 6250Salinas, CA 93912 · (865) 765-8225
Phone(865) 765-8225
Sole ProprietorNo
Enumeration DateJuly 31, 2012
Last NPPES UpdateDecember 28, 20202 updates tracked since enumeration
NPPES CertifiedDecember 28, 2020
✔ NPI 1821344557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in GA · RN225022✔ Licensed in AZ · AP10318✔ Licensed in CA · 95014791
Also ListedRegistered Nurse · Psychiatric/Mental Health, Child & AdolescentTaxonomy 163WP0807X · License RN225022 (GA)
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License RN225022 (GA)
Also ListedRegistered Nurse · Psychiatric/Mental Health, AdultTaxonomy 163WP0809X · License RN225022 (GA)
2400 NORTHSIDE XING, Macon, GA 31210
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc., UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nellie Idara Samuel Msn, Aprn,pmhnp-bc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
29 services15 patients
Psychiatric diagnostic evaluation with medical services 90792
A psychiatric diagnostic evaluation with medical services is a comprehensive assessment. It includes a detailed examination of your mental health and physical wellbeing, as well as your personal and family history. This evaluation aids in creating an effective treatment plan.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31210 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

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 Nellie Samuel's NPI number?

The NPI number for Nellie Samuel is 1821344557. It was assigned to this individual provider in the NPPES registry on July 31, 2012.

Where is Nellie Samuel located?

Nellie Samuel practices at 2400 Northside Xing, Macon, GA 31210. The listed phone number is (865) 765-8225.

What is Nellie Samuel's specialty?

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

Is Nellie Samuel enrolled in Medicare?

Yes. Nellie Samuel is registered in the Medicare PECOS enrollment system.

What insurance does Nellie Samuel accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Nellie Samuel 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.

When was this NPI record last updated?

The NPPES record for Nellie Samuel was last updated on December 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.