Individual provider Active NPI

Blessy Sam, MSN, APRN, FNP-C

  • Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1073019535
Registry record updated Sep 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
AP137198 Issued in TX
Practice address
8611 Hillcrest Ave
Dallas, TX 75225-4203
Phone
(214) 692-3100
NPI assigned
Apr 3, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X AP137198 TX Primary

Addresses

Primary practice location

8611 Hillcrest Ave
Dallas, TX 75225-4203

Mailing address

PO Box 845347
Dallas, TX 75284-7208

Other practice location 1

5294 Belt Line Rd Ste 200
Dallas, TX 75254-7571
Phone (214) 785-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20200206002423 TX Practitioner - Nurse Practitioner 4486080686 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Blessed Primary Care PLLC Nurse Practitioner Current Accepting new patients
Catapult Health PA CurrentSince Sep 16, 2025 Accepting new patients
Openloop Healthcare Partners PC Nurse Practitioner CurrentSince Sep 9, 2025 Accepting new patients
Catapult Health, LLC PastSince Sep 16, 2025 Accepting new patients
Openloop Healthcare Partners New Jersey PC Nurse Practitioner Past Accepting new patients

Locations

3707 E Southern Ave
#1
Mesa, AZ 85206
Phone (424) 387-6806

317 6th Ave
Ste 400
Des Moines, IA 50309
Phone (515) 612-9097

35 Village Rd
Ste 100
Middleton, MA 01949
Phone (978) 222-3131

3200 Greenfield Rd
Ste 300
Dearborn, MI 48120
Phone (313) 318-8208

101 Hudson St
Jersey City, NJ 07302
Phone (516) 432-3800

5294 Belt Line Rd
Ste 200
Dallas, TX 75254
Phone (214) 785-2200

4500 Mercantile Plaza Dr
Ste 300
Ft Worth, TX 76137
Phone (469) 688-9501

Interoperability endpoints

  • Direct secure messaging: bsam622883@direct.sw.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758844800000",
    "number": "1073019535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 845347",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752847208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8611 HILLCREST AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752254203",
            "telephone_number": "214-692-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5294 Belt Line Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752547571",
            "country_code": "US",
            "telephone_number": "214-785-2200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SAM",
        "first_name": "BLESSY",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-03",
        "last_updated": "2025-09-26",
        "certification_date": "2025-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "AP137198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.