ELIJAH TODD SAMSEL FNP
NPI 1891674727
Nurse Practitioner - Family in Kingsport, TN

Q: What is Elijah Samsel's NPI number?

The NPI number for Elijah Samsel is 1891674727. It was assigned to this individual provider in the NPPES registry on August 27, 2025.

Q: What is Elijah Samsel's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Elijah Samsel was last updated on January 5, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 27, 2025PECOS EnrolledAccepts Medicare Assignment

430 W RAVINE RD, KINGSPORT, TN 37660(423) 245-3161(423) 245-8916 Get Directions Write a Review

NPPES record last updated: January 5, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 5, 2026, Dec 5, 2025 (2 updates tracked since 2025).

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About Elijah Todd Samsel Fnp NPPES

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

ELIJAH TODD SAMSEL FNP (NPI 1891674727) is an individual family provider in Kingsport, Tennessee, licensed in Tennessee (39524) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, is affiliated with Wellmont Holston Valley Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1891674727

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameELIJAH TODD SAMSELCredential: FNP

Location Address430 W RAVINE RDKingsport, TN 37660-3868

Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111

Phone(423) 245-3161

Fax(423) 245-8916

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateAugust 27, 2025

Last NPPES UpdateJanuary 5, 20262 updates tracked since enumeration

NPPES CertifiedJanuary 5, 2026

✔ NPI 1891674727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TN · 39524

430 W RAVINE RD, Kingsport, TN 37660

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee.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

Elijah Todd Samsel 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 ID6709374077

PECOS Enrollment IDI20251020002973

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.

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number440017

Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37660 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

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

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.

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Other Providers at the Same Location NPPES 11

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

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