Individual provider Active NPI

Samantha Mielke, FNP-BC

  • Family Nurse Practitioner
  • Dallas, TX
National Provider Identifier
1114561263
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142688 Issued in TX
Practice address
2280 Inwood Rd
Dallas, TX 75235-7321
Phone
(214) 645-8525
NPI assigned
Nov 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024178065 VA
Family Nurse Practitioner 363LF0000X RN1053033 DC
Family Nurse Practitioner 363LF0000X AP142688 TX Primary

Addresses

Primary practice location

2280 Inwood Rd
Dallas, TX 75235-7321

Mailing address

2280 Inwood Rd
Dallas, TX 75235-7321
Phone (214) 645-8525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200317000849 DC Practitioner - Nurse Practitioner 2062840580 Reassigns benefits to 3 organizations
I20240611004236 VA Practitioner - Nurse Practitioner 2062840580 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiation Oncology Associates PCGroup PAC ID 1254302359, 22 clinicians

Practice addresses (Care Compare)

44035 Riverside Pkwy
Suite 100
Leesburg, VA 20176-8274
Phone (703) 858-8850

8081 Innovation Park Dr
Fairfax, VA 22031-4867
Phone (571) 472-0606

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP142688TXMDFamily Nurse Practitioner
0024178065VAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Radiation Oncology Associates, PC CurrentSince May 13, 2024 Accepting new patients
District Hospital Partners LP Family CurrentSince Jul 6, 2021 Accepting new patients
Medical Faculty Associates, Inc CurrentSince Nov 10, 2022 Accepting new patients
District Hospital Partners L P Family Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

900 23rd St NW
Washington, DC 20037
Phone (202) 715-4750

2141 K St NW
Ste 501
Washington, DC 20037
Phone (202) 973-1548

4320 Seminary Rd
Alexandria, VA 22304
Phone (703) 504-3000

8081 Innovation Park Dr
Ste 301
Fairfax, VA 22031
Phone (571) 472-6431

8081 Innovation Park Dr
Fairfax, VA 22031
Phone (571) 472-0606

3580 Joseph Siewick Dr
Fairfax, VA 22033
Phone (703) 391-4250

3300 Gallows Rd
Falls Church, VA 22042
Phone (703) 352-9395

44035 Riverside Pkwy
Ste 100
Leesburg, VA 20176
Phone (703) 858-8850

2280 Opitz Blvd
Ste 120
Woodbridge, VA 22191
Phone (703) 580-5160

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

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.

Hospital & facility affiliations 4

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": "1572566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784592000000",
    "number": "1114561263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2280 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357321",
            "telephone_number": "214-645-8525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2280 INWOOD RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752357321",
            "telephone_number": "214-645-8525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIELKE",
        "first_name": "SAMANTHA",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-01",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024178065",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1053033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142688",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.