Individual provider Active NPI

Samantha Rae Tolley-Musall, FNP-C

  • Family Nurse Practitioner
  • Kokomo, IN
National Provider Identifier
1184261166
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71009649A Issued in IN
Practice address
2751 Albright Rd
Kokomo, IN 46902-3996
Phone
(765) 450-4843
Fax
(765) 450-4895
NPI assigned
Dec 9, 2019
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71009649A IN Primary
Registered Nurse 163W00000X 28156612A IN

Addresses

Primary practice location

2751 Albright Rd
Kokomo, IN 46902-3996

Mailing address

4031 S Webster St
Kokomo, IN 46902-6911
Phone (765) 626-6667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20200326001236 IN Practitioner - Nurse Practitioner 7113356122 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrity Family Counseling LLCGroup PAC ID 9830485507, 14 clinicians

Practice addresses (Care Compare)

2751 Albright Rd
Kokomo, IN 46902-3996
Phone (765) 450-4843

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28156612AINMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integrity Family Counseling LLC CurrentSince May 29, 2024 Accepting new patients

Locations

2751 Albright Rd
Kokomo, IN 46902
Phone (765) 434-8851

3804 Southland Ave
#2
Kokomo, IN 46902
Phone (765) 290-3788

417 Arnold Ct
Kokomo, IN 46902
Phone (765) 432-7006

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1575849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1184261166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4031 S WEBSTER ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469026911",
            "telephone_number": "765-626-6667",
            "fax_number": "765-626-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2751 ALBRIGHT RD",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023996",
            "telephone_number": "765-450-4843",
            "fax_number": "765-450-4895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOLLEY-MUSALL",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-09",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71009649A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28156612A",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kokomo, IN

Sources for this page

Verify at the official NPI Registry.