Samantha Lynne Kragel, PMHNP-BC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

266951 Issued in AZ

Practice address

1270 E Broadway Rd Ste 103
Tempe, AZ 85282-1516

Phone

(480) 780-0505

NPI assigned

Nov 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Optum Behavioral Care of Colorado PCGroup PAC ID 0941648463, 196 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.kragel.1@28621.direct.athenahealth.com

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.

• Optum Behavioral Care of Colorado, P.C.

  dba Northlight Counseling Associates of Arizona

  • Clinical Psychologist
  • Mesa, AZ
  • NPI 1942070370
  Medicare reassignment Care Compare group NPD
• Mountain Springs Counseling P.L.L.C

  • Community/Behavioral Health Agency
  • Show Low, AZ
  • NPI 1881058261
  NPD
• Optum Behavioral Care of Colorado, P.C.

  dba Phoenix Mental Health and Wellness of Arizona

  • Clinical Psychologist
  • Flagstaff, AZ
  • NPI 1932979366
  NPD
• Phoenix Mental Health and Wellness PLLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1396227609
  NPD
• TMS Arizona PLLC

  dba TMS Arizona

  • Psychiatry Physician
  • Tempe, AZ
  • NPI 1679156525
  NPD
• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  NPD

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

{
    "created_epoch": "1637280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1215694773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26221 N 45TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850508561",
            "telephone_number": "407-808-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 E BROADWAY RD STE 103",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852821516",
            "telephone_number": "480-780-0505"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "26221 N 45th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850508561",
            "country_code": "US",
            "telephone_number": "407-808-3332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRAGEL",
        "first_name": "SAMANTHA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-19",
        "last_updated": "2021-11-19",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "AZ",
            "license": "266951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samk@phoenixmhw.com",
            "affiliation": "Y",
            "affiliationName": "Phoenix Mental Health and Wellness PLLC",
            "address_1": "1270 E Broadway Rd Ste 103",
            "city": "Tempe",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852821516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michelle L Kozimor, LMSW
• Louise A Koziol, CCC SLP
• Elaine C Kozula, NMD
• Elizabeth S Kozura, PT
• Monica Bariadura Kpobari Tusima
• Alicia Krah
• Leslie D Krahl, MD
• Aaron D Krasnow, PHD
• Tracy Alison Krause, M.C., L.A.C., N.C.C.
• Robert Krauss, DO

• Psychiatric/Mental Health Nurse Practitioner in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Psychiatric/Mental Health Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.