Individual provider Active NPI

Sampson Ashu, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Fresno, CA
National Provider Identifier
1194593202
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
95028951 Issued in CA
Practice address
3433 W Shaw Ave
Fresno, CA 93711-3229
Phone
(559) 476-2115
NPI assigned
Dec 18, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1151125 TX
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 95028951 CA Primary

Addresses

Primary practice location

3433 W Shaw Ave
Fresno, CA 93711-3229

Mailing address

188 Summer St
Dover Foxcroft, ME 04426-1129
Phone (207) 528-2285

Other practice location 1

4125 Carrington Dr
Garland, TX 75043-7249
Phone (469) 224-8533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20240726002074 ME Practitioner - Nurse Practitioner 3072059906

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
95028951CAMDPsychiatric/Mental Health Nurse Practitioner
1151125TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Northplace Wellness Psychiatric/Mental Health CurrentSince Dec 24, 2023 Accepting new patients
Katahdin Valley Health Center Current Accepting new patients
Angels Without Borders, LLC PastSince Dec 24, 2023 Accepting new patients

Locations

59 Bangor St
Houlton, ME 04730
Phone (207) 532-7161

529 S Patten Rd
Patten, ME 04765

Organizations & group practices 3

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": "1702857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778544000000",
    "number": "1194593202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "188 SUMMER ST",
            "city": "DOVER FOXCROFT",
            "state": "ME",
            "postal_code": "044261129",
            "telephone_number": "207-528-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 W SHAW AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937113229",
            "telephone_number": "559-476-2115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4125 Carrington Dr",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750437249",
            "country_code": "US",
            "telephone_number": "469-224-8533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASHU",
        "first_name": "SAMPSON",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-12-18",
        "last_updated": "2026-05-12",
        "certification_date": "2026-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1151125",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CA",
            "license": "95028951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.