Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

COURTNEY TIEREE SAMUELS APRN
NPI 1912612763
Nurse Practitioner - Family in Clarksville, IN

Active since January 17, 2023PECOS EnrolledAccepts Medicare Assignment
2205 GREENTREE N, CLARKSVILLE, IN 47129(812) 218-6560(812) 288-2605 Get Directions Write a Review

NPPES record last updated: July 7, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 7, 2026, Feb 1, 2023, Jan 17, 2023 (3 updates tracked since 2023).

About Courtney Tieree Samuels Aprn NPPES

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

COURTNEY TIEREE SAMUELS APRN (NPI 1912612763) is an individual family provider in Clarksville, Indiana, licensed in Indiana (71013451A) and active in the NPI registry since January 2023. She is enrolled in Medicare PECOS, is affiliated with Clark Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912612763
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCOURTNEY TIEREE SAMUELSCredential: APRN
Location Address2205 GREENTREE NClarksville, IN 47129-8957
Mailing AddressPo Box 776351Chicago, IL 60677-6351 · (502) 588-9490 · Fax (502) 272-5116
Fax(812) 288-2605
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 17, 2023
Last NPPES UpdateJuly 7, 20263 updates tracked since enumeration
NPPES CertifiedJuly 7, 2026
NPI 1912612763 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
Licenses Licensed in IN · 71013451A Licensed in KY · 3018888
2205 GREENTREE N, Clarksville, IN 47129

Other Identifiers 4

Other71013451AIN · State License
Other3018888KY · State License
Medicaid300072891IN
Medicaid7100954570KY

Accepted 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

Courtney Tieree Samuels Aprn 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 ID3779956180
PECOS Enrollment IDI20230306002835
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 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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
201 services164 patients
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.
173 services132 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
55 services42 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
43 services34 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
28 services13 patients
Detection test by immunoassay with direct visual observation for streptococcus, group a (strep) 87880
A detection test by immunoassay for Group A Strep is a quick procedure to identify a bacterial infection in your throat. It involves taking a throat swab and applying it to a test strip, which changes color if Strep bacteria are present.
16 services14 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Clark Memorial Hospital

Acute Care Hospitals · Jeffersonville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number150009
Location1220 Missouri AveJeffersonville, IN 47130 · Clark County
Emergency services Birthing friendly

Baptist Health Floyd

Acute Care Hospitals · New Albany, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150044
Location1850 State StNew Albany, IN 47150 · Floyd County
Emergency services Birthing friendly

Norton-King's Daughters' Health

Acute Care Hospitals · Madison, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150069
Location1373 East Sr 62Madison, IN 47250 · Jefferson County
Emergency services Birthing friendly

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47129 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
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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 10

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

Nurse Practitioner (Family)
2205 GREENTREE N
CLARKSVILLE, IN 47129
Internal Medicine
2205 GREENTREE N
CLARKSVILLE, IN 47129
Nurse Practitioner (Family)
2205 GREENTREE N
CLARKSVILLE, IN 47129
Internal Medicine
2205 GREENTREE N
CLARKSVILLE, IN 47129
Nurse Practitioner (Family)
2205 GREENTREE N
CLARKSVILLE, IN 47129
Nurse Practitioner (Family)
2205 GREENTREE N
CLARKSVILLE, IN 47129
Nurse Practitioner (Family)
2205 GREENTREE N
CLARKSVILLE, IN 47129
Nurse Practitioner (Family)
2205 GREENTREE N
CLARKSVILLE, IN 47129

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 Courtney Samuels's NPI number?

The NPI number for Courtney Samuels is 1912612763. It was assigned to this individual provider in the NPPES registry on January 17, 2023.

Where is Courtney Samuels located?

Courtney Samuels practices at 2205 Greentree N, Clarksville, IN 47129. The listed phone number is (812) 218-6560.

What is Courtney Samuels's specialty?

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

Is Courtney Samuels enrolled in Medicare?

Yes. Courtney Samuels 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.

What insurance does Courtney Samuels accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Courtney Samuels 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.

Is Courtney Samuels affiliated with any hospitals?

According to CMS data, Courtney Samuels is affiliated with Clark Memorial Hospital, Baptist Health Floyd, Norton-King's Daughters' Health and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Courtney Samuels was last updated on July 7, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.