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SAMUEL SMALL FNP
NPI 1851952162
Nurse Practitioner - Family in Flagstaff, AZ

Active since June 26, 2019PECOS EnrolledAccepts Medicare Assignment
1200 N BEAVER ST, FLAGSTAFF, AZ 86001(928) 215-2778 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 29, 2020, May 16, 2020 (2 updates tracked since 2020).

About Samuel Small Fnp NPPES

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

SAMUEL SMALL FNP (NPI 1851952162) is an individual family provider in Flagstaff, Arizona, licensed in Arizona (230937) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS, maintains a secondary practice location in Flagstaff, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1851952162
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameSAMUEL SMALLCredential: FNP
Location Address1200 N BEAVER STFlagstaff, AZ 86001-3118
Mailing Address1200 N Beaver StFlagstaff, AZ 86001-3118 · (928) 214-2676 · Fax (928) 773-2075
Phone(928) 215-2778
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateJune 26, 2019
Last NPPES UpdateMay 29, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
✔ NPI 1851952162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · 230937
Also ListedNurse PractitionerTaxonomy 363L00000X · License F06192632 (AZ)
1200 N BEAVER ST, Flagstaff, AZ 86001
Open in Google Maps ↗

Secondary Practice Location 1

Location 1350 N Switzer Canyon DrFlagstaff, AZ 86001-4826 · Phone (602) 955-1000 · Fax (602) 508-4830

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

Samuel Small Fnp 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 ID4981026127
PECOS Enrollment IDI20220926000240
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 Reassignments

4

Medicare enrollment records show Samuel Small reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnet Dulaney Perkins Eye Center, PC
1.1 mi
Ophthalmology
350 N SWITZER CANYON DR
Flagstaff, AZ 86001
  • Reassigned Medicare billing, Arizona enrollment
  • 224 clinicians in this Medicare group
NPI 1689619272 (602) 955-1000
Southwestern Eye Center Ltd
30 mi
Optometrist
100 VERDE VALLEY ROAD, STE 114
Sedona, AZ 86351
  • Reassigned Medicare billing, Arizona enrollment
  • 212 clinicians in this Medicare group
NPI 1144645391 (928) 239-9901
Winslow Indian Health Care Center, Inc
37 mi
Public Health, Federal
1.5 MILE N OF LEUPP CHAPTER HOUSE
Leupp, AZ 86035
  • Reassigned Medicare billing, Texas enrollment
  • 219 clinicians in this Medicare group
NPI 1760652580 (928) 289-4646
Nextcare Arizona LLC
123 mi
Urgent Care
914 N SCOTTSDALE RD STE 104
Tempe, AZ 85288
  • Reassigned Medicare billing, Arizona enrollment
  • 367 clinicians in this Medicare group
NPI 1043371826 (480) 924-8382

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

Areas of Expertise CMS Part B claims 8

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.
358 services282 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
25 services24 patients
Bacterial colony count, urine 87086
A bacterial colony count, urine, is a laboratory test that checks a urine sample for bacteria. It helps to identify if an infection is present in the urinary system. High numbers of bacteria in the urine can indicate a urinary tract infection (UTI).
19 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
15 services15 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
14 services11 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86001 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

DR. JEREMY NIELSEN M.D.
Anesthesiology
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
DR. SEAN DANIEL WOODS M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2112
ELIZABETH GILMORE CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
TANYA LEE MORGAN TWEED RDN
Dietitian, Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 773-2441
THOMAS MATTHEW REEVE MD
Emergency Medicine
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (210) 464-7442
MS. SUSAN POMEROY BASSETT M.S.
Audiologist
1200 N BEAVER ST, AUDIOLOGY DEPARTMENT
FLAGSTAFF, AZ 86001
Coconino County (928) 214-3728
DR. ALI I RAJA MD, MSC
Neurological Surgery
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366
LEAH MARIE COFFMAN PAUL CRNA
Nurse Anesthetist, Certified Registered
1200 N BEAVER ST
FLAGSTAFF, AZ 86001
Coconino County (928) 779-3366

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 Small's NPI number?

The NPI number for Samuel Small is 1851952162. It was assigned to this individual provider in the NPPES registry on June 26, 2019.

Where is Samuel Small located?

Samuel Small practices at 1200 N Beaver St, Flagstaff, AZ 86001. The listed phone number is (928) 215-2778.

What is Samuel Small's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samuel Small enrolled in Medicare?

Yes. Samuel Small 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 Small's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Small reassigns Medicare benefits to 4 organizations: Barnet Dulaney Perkins Eye Center, PC (Flagstaff, AZ), Southwestern Eye Center Ltd (Sedona, AZ), Winslow Indian Health Care Center, Inc (Leupp, AZ) and Nextcare Arizona LLC (Tempe, AZ). 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 Small's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Samuel Small was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.