Active NPI
Sampson Ashu, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Fresno, CA
National Provider Identifier
1194593202
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 95028951
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240726002074 | ME | Practitioner - Nurse Practitioner | 3072059906 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95028951 | CA | MD | Psychiatric/Mental Health Nurse Practitioner |
| 1151125 | TX | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northplace Wellness | Psychiatric/Mental Health | Current | Accepting new patients |
| Katahdin Valley Health Center | Current | Accepting new patients | |
| Angels Without Borders, LLC | Past | 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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Garland, TX
- NPI 1043148893
-
- Home Health Agency
- Garland, TX
- NPI 1417630344
-
- Federally Qualified Health Center (FQHC)
- Houlton, ME
- NPI 1376618546
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; 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.