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ASHLEY SAMANIEGO PMHNP-BC
NPI 1902583917
Nurse Practitioner - Psychiatric/Mental Health in Kingsport, TN

Active since June 30, 2023PECOS EnrolledAccepts Medicare Assignment
2204 PAVILION DR STE 107, KINGSPORT, TN 37660(423) 343-1442(423) 722-3009 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 11, 2026, Jan 5, 2026, Nov 4, 2024 and 1 more (4 updates tracked since 2024).

About Ashley Samaniego Pmhnp-bc NPPES

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

ASHLEY SAMANIEGO PMHNP-BC (NPI 1902583917) is an individual psychiatric/mental health provider in Kingsport, Tennessee, licensed in North Carolina (5020715) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS, maintains 5 additional practice locations, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1902583917
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameASHLEY SAMANIEGOCredential: PMHNP-BC
Location Address2204 PAVILION DR STE 107Kingsport, TN 37660-4651
Mailing Address1021 W Oakland Ave Ste 310Johnson City, TN 37604-2192 · (423) 952-2111
Phone(423) 343-1442
Fax(423) 722-3009
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 30, 2023
Last NPPES UpdateAugust 11, 20264 updates tracked since enumeration
NPPES CertifiedAugust 11, 2026
✔ NPI 1902583917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
Licenses✔ Licensed in NC · 5020715✔ Licensed in TN · 36562
Also ListedRegistered Nurse · Psychiatric/Mental HealthTaxonomy 163WP0808X · License 180297 (TN)
2204 PAVILION DR STE 107, Kingsport, TN 37660
Open in Google Maps ↗

Other Names 1

Former Name (1)Ashley Mitcham Rn

Secondary Practice Locations 5

Location 1701 Med Tech Pkwy Ste 200Johnson City, TN 37604-2371 · Phone (423) 302-3480
Location 2403 N State Of Franklin RdJohnson City, TN 37604-6034 · Phone (423) 431-7111
Location 3701 Med Tech Pkwy Ste 201Johnson City, TN 37604-2365 · Phone (423) 302-3480 · Fax (423) 722-3009
Location 4130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-3150
Location 5120 Towerview CtCary, NC 27513-3595 · Phone (919) 585-5085

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Insurance Company and more.Insurance ›

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

Ashley Samaniego Pmhnp-bc 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 ID3173056652
PECOS Enrollment IDI20241023002786
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

2

Medicare enrollment records show Ashley Samaniego reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Blue Ridge Medical Management Corporation
Same address
Family Medicine
2204 PAVILION DR, SUITE 310
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1730401209 (423) 224-3900
Wellmont Medical Associates, Inc.
2.0 mi
Internal Medicine
111 W STONE DR, SUITE 110
Kingsport, TN 37660
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1598124398 (423) 224-3701

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

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.

Other Providers at the Same Location NPPES 4

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

SANA PATHAN
Nurse Practitioner (Psychiatric/Mental Health)
2204 PAVILION DR STE 107
KINGSPORT, TN 37660
Sullivan County (423) 343-1442
KAYLA ANNISE DAVIS LMSW
Counselor (Mental Health)
2204 PAVILION DR STE 107
KINGSPORT, TN 37660
Sullivan County (423) 343-1442
SARA JANE CARICO LCSW
Social Worker (Clinical)
2204 PAVILION DR STE 107
KINGSPORT, TN 37660
Sullivan County (423) 343-1442
MS. MARGARET ELLEN FINLEY LCSW
Social Worker (Clinical)
2204 PAVILION DR STE 107
KINGSPORT, TN 37660
Sullivan County (423) 392-6100

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 Ashley Samaniego's NPI number?

The NPI number for Ashley Samaniego is 1902583917. It was assigned to this individual provider in the NPPES registry on June 30, 2023. The provider is also known as Ashley Mitcham Rn.

Where is Ashley Samaniego located?

Ashley Samaniego practices at 2204 Pavilion Dr Ste 107, Kingsport, TN 37660. The listed phone number is (423) 343-1442.

What is Ashley Samaniego's specialty?

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

Is Ashley Samaniego enrolled in Medicare?

Yes. Ashley Samaniego 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 Ashley Samaniego's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ashley Samaniego reassigns Medicare benefits to 2 organizations: Blue Ridge Medical Management Corporation (Kingsport, TN) and Wellmont Medical Associates, Inc. (Kingsport, TN). 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 Ashley Samaniego's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ashley Samaniego accept?

Health plans from Blue Cross and Blue Shield of NC, Cigna Healthcare, Oscar Insurance Company and UnitedHealthcare list Ashley Samaniego 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 Ashley Samaniego was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.