Wanda Sexton Samake, DNP, PMHNP, FNP
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Greer, SC
NPI 1063561876 · NPPES record last updated Oct 11, 2023
Key facts
- NPI
- 1063561876
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 2159 (SC)
- Practice address
- 300 John St Unit 5B
Greer, SC 29651-1463 - Phone
- (864) 990-5664
- Fax
- (864) 990-5674
- NPI assigned
- Jan 9, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
300 John St
Suite 5B
Greer, SC 29651-1463
Phone (864) 990-5664
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050104000854 | SC | Practitioner - Nurse Practitioner | 1850349036 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN150441 | GA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sexton Homecare, LLC | Current | Accepting new patients | |
| Che Behavioral Health Services of South Carolina, P.C. | Psychiatric/Mental Health | Current |
Accepting new patients |
| Upstate ADHD Center, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Signify Health Medical Associates, PLLC | Current |
Accepting new patients | |
| Caring Hearts Psychiatric Mental Health Services, LLC | Psychiatric/Mental Health | Current |
Accepting new patients |
| Supportive Care of South Carolina LLC | Current |
Accepting new patients | |
| Upstate Neurology, P.a. | Past |
Accepting new patients |
Locations
27 Randolph Rd
Howell, NJ 07731
Phone (972) 677-7951
2 Office Park Ct
Ste 103
Columbia, SC 29223
Phone (256) 497-0032
220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414
451 Haywood Rd
Greenville, SC 29607
Phone (864) 301-1031
301 Halton Rd
Ste F45
Greenville, SC 29607
300 John St
Ste 5B
Greer, SC 29651
Phone (864) 216-3868
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN150441 | GA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 2159 | SC | Yes |
| Family Nurse Practitioner | 363LF0000X | 2159 | SC |
Addresses
Primary practice location
300 John St Unit 5B
Greer, SC 29651-1463
Mailing address
PO Box 25472
Greenville, SC 29616-0472
Phone (864) 990-5664
Other names
- Wanda Charlene Sexton
Other providers in Greer, SC
- Lee Saindon
- Saints Homecare Agency LLC
- Landon Stone Saipale
- Shatarra Tavonia Salley
- Salute Medical Billing and Solutions, LLC
- Jill Sampson
- Blanchard Emanuel Sanchez
- Sergio A Sanchez
- Sanders Healthcare LLC
- Jennifer Sanders
All providers in Greer, SC · Psychiatric/Mental Health Nurse Practitioner in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.