SAMUEL DURHAM RN, BSN, CCRN
NPI 1912616707
Nurse Anesthetist, Certified Registered in Madison, TN

Q: What is Samuel Durham's NPI number?

The NPI number for Samuel Durham is 1912616707. It was assigned to this individual provider in the NPPES registry on November 21, 2022.

Q: What is Samuel Durham's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Durham was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since November 21, 2022Accepts Medicare Assignment

315 HOSPITAL DR, MADISON, TN 37115(615) 732-7662 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Mar 12, 2026, Nov 21, 2022 (2 updates tracked since 2022).

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About Samuel Durham Rn, Bsn, Ccrn NPPES

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

SAMUEL DURHAM RN, BSN, CCRN (NPI 1912616707) is an individual nurse anesthetist, certified registered in Madison, Tennessee, licensed in Tennessee (250468) and active in the NPI registry since November 2022. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1912616707

Entity TypeIndividualMale

Primary Taxonomy367500000X

Provider Legal NameSAMUEL DURHAMCredential: RN, BSN, CCRN

Location Address315 HOSPITAL DRMadison, TN 37115-5030

Mailing Address315 Hospital DrMadison, TN 37115-5030 · (615) 732-7662

Phone(615) 732-7662

Sole ProprietorNo

Medical School CMSOtherGraduated 2025

Enumeration DateNovember 21, 2022

Last NPPES UpdateMarch 12, 20262 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1912616707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367500000X

License✔ Licensed in TN · 250468

Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

315 HOSPITAL DR, Madison, TN 37115

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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

Samuel Durham Rn, Bsn, Ccrn 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 ID6709353444

PECOS Enrollment IDI20260521002093

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37115 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

$121.80 typical visit price

range $52.64 – $160.89

Typical copayment $30.45 (range $13.16 – $40.22)

Most-billed visit code 99204

Established Patient

$66.01 typical visit price

range $16.72 – $131.41

Typical copayment $16.50 (range $4.18 – $32.85)

Most-billed visit code 99213

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.

CARSON STAFFORD

Nurse Anesthetist, Certified Registered