Individual provider Active NPI

Samantha Suh Morgan, NP

  • Pediatric Nurse Practitioner
  • Riverton, WY
National Provider Identifier
1104414234
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
251903 Issued in AZ
Practice address
511 N 12TH St E
Riverton, WY 82501-3809
Phone
(307) 463-4488
NPI assigned
Jan 5, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 251903 AZ Primary

Addresses

Primary practice location

511 N 12TH St E
Riverton, WY 82501-3809

Mailing address

7108 Bells Mill Rd
Bethesda, MD 20817-1204
Phone (303) 818-2986

Other names 1

  • Samantha Suh Murphy Former name

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
I20210421000700 TX Practitioner - Nurse Practitioner 2769890391 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
May accept Medicare assignment
Group practices
Wind River Family and Community Healthc CareGroup PAC ID 1850683780, 42 clinicians

Practice addresses (Care Compare)

14 Great Plains Rd
Arapahoe, WY 82510-9144
Phone 3078569281119

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wind River Family & Community Healthc Care CurrentSince Mar 1, 2021 Accepting new patients

Locations

14 Great Plains Rd
Arapahoe, WY 82510

511 N 12th St E
Riverton, WY 82501
Phone (307) 455-2516

Organizations & group practices 1

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": "1609804800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1104414234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7108 BELLS MILL RD",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171204",
            "telephone_number": "303-818-2986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N 12TH ST E",
            "city": "RIVERTON",
            "state": "WY",
            "postal_code": "825013809",
            "telephone_number": "307-463-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORGAN",
        "first_name": "SAMANTHA",
        "middle_name": "SUH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-01-05",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "AZ",
            "license": "251903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "MURPHY",
            "middle_name": "SUH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Riverton, WY

Sources for this page

Verify at the official NPI Registry.