Vanesa Elizabeth Samos, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

347264 Issued in NY

Practice address

1732 State Route 67
Valley Falls, NY 12185-3445

Phone

(928) 246-1555

NPI assigned

Jun 15, 2021

Last updated

Jun 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: vanesa.samos.p6@direct.usppny.nextgenshare.com

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

• McGinnis Womens Medical Care, PC

  • Obstetrics & Gynecology Physician
  • Albany, NY
  • NPI 1194746941
  Medicare reassignment NPD
• Upper Hudson Planned Parenthood Inc.

  • Clinic/Center
  • Albany, NY
  • NPI 1881755601
  Medicare reassignment NPD

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

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1114595139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1732 STATE ROUTE 67",
            "city": "VALLEY FALLS",
            "state": "NY",
            "postal_code": "121853445",
            "telephone_number": "928-246-1555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1732 STATE ROUTE 67",
            "city": "VALLEY FALLS",
            "state": "NY",
            "postal_code": "121853445",
            "telephone_number": "928-246-1555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOS",
        "first_name": "VANESA",
        "middle_name": "ELIZABETH",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "347264",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bloom Counseling LCSW, PLLC
• Robin Connolly, FNP
• Cailin Lebarron, LCSW-R

• Family Nurse Practitioner in Valley Falls, NY
• Providers in Valley Falls, NY by specialty
• Family Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.