Individual provider Active NPI

Sam Simpson, APRN

  • Family Nurse Practitioner
  • Siloam Springs, AR
National Provider Identifier
1023405198
Registry record updated Dec 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A004373 Issued in AR
Practice address
3721 Highway 412 E Ste B
Siloam Springs, AR 72761-8010
Phone
(479) 215-3080
NPI assigned
Apr 16, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A004373 AR Primary

Addresses

Primary practice location

3721 Highway 412 E Ste B
Siloam Springs, AR 72761-8010

Mailing address

3721 Highway 412 E Ste B
Siloam Springs, AR 72761-8010
Phone (479) 215-3080

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sam.simpson.1@1964.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150716000309 AR Practitioner - Nurse Practitioner 1951614296 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Arkansas College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Siloam Springs Clinic Company LLCGroup PAC ID 9032275318, 7 clinicians

Practice addresses (Care Compare)

3721 E Hwy 412
Suite C
Siloam Springs, AR 72761-8010
Phone (479) 215-3090

3721 Hwy 412 E
Suite a
Siloam Springs, AR 72761-8010
Phone (479) 215-3070

603 N Progress Ave
Siloam Springs, AR 72761-4353
Phone (479) 215-3000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Washington Regional Medical System CurrentSince May 11, 2015 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 15, 2019 Accepting new patients
Northwest Physicians LLC CurrentSince Jul 15, 2019 Accepting new patients
Northwest Benton County Physician Services LLC CurrentSince Jul 15, 2019 Accepting new patients
Siloam Springs Clinic Company LLC Family CurrentSince Jun 20, 2019 Accepting new patients
Washington Regional Medical System CurrentSince May 11, 2015 Accepting new patients
Siloam Springs Arkansas Hospital Company LLC Past Accepting new patients

Locations

1102 NW Lowes Ave
Ste 2
Bentonville, AR 72712
Phone (479) 254-8563

101 Sun Meadow Dr
Centerton, AR 72719
Phone (479) 273-1426

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

12 E Appleby Rd
Ste 102
Fayetteville, AR 72703
Phone (479) 463-4746

3215 N Northhills Blvd
Fayetteville, AR 72703
Phone (479) 463-1000

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

3721 Highway 412 E
#B
Siloam Springs, AR 72761
Phone (479) 215-3070

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

Interoperability endpoints

  • Direct secure messaging: sam.simpson.1@1964.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734566400000",
    "number": "1023405198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 HIGHWAY 412 E STE B",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618010",
            "telephone_number": "479-215-3080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3721 HIGHWAY 412 E STE B",
            "city": "SILOAM SPRINGS",
            "state": "AR",
            "postal_code": "727618010",
            "telephone_number": "479-215-3080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SAM",
        "name_prefix": "Mr.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-16",
        "last_updated": "2024-12-19",
        "certification_date": "2024-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sam.simpson.1@1964.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR Direct Address",
            "address_1": "3721 Highway 412 E Ste B",
            "city": "Siloam Springs",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727618010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Siloam Springs, AR

Sources for this page

Verify at the official NPI Registry.