Individual provider Active NPI

Samantha Ranae Thomas, APRN-CNP

  • Family Nurse Practitioner
  • Eastland, TX
National Provider Identifier
1225857741
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1177381 Issued in TX
Practice address
400 W Plummer St
Eastland, TX 76448-2627
Phone
(254) 629-1744
Fax
(254) 629-3904
NPI assigned
Oct 10, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1177381 TX Primary

Addresses

Primary practice location

400 W Plummer St
Eastland, TX 76448-2627

Mailing address

400 W Plummer St
Eastland, TX 76448-2627
Phone (254) 629-1744

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20250124003435 TX Practitioner - Nurse Practitioner 5597294223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
B and W Healthcare Associates PAGroup PAC ID 7416025457, 4 clinicians

Practice addresses (Care Compare)

400 W Plummer
Eastland, TX 76448-2627
Phone (254) 629-1744

Hospital & facility affiliations

  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 671303
  • Eastland Memorial Hospital Hospital, Eastland, TX, CCN 450411

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
B & W Healthcare Associates PA CurrentSince Nov 22, 2024 Accepting new patients
B & W Clinic PA PastSince Oct 1, 2024 Accepting new patients

Locations

400 W Plummer St
Eastland, TX 76448
Phone (254) 629-1744

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1225857741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 W PLUMMER ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482627",
            "telephone_number": "254-629-1744",
            "fax_number": "254-629-3904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W PLUMMER ST",
            "city": "EASTLAND",
            "state": "TX",
            "postal_code": "764482627",
            "telephone_number": "254-629-1744",
            "fax_number": "254-629-3904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "SAMANTHA",
        "middle_name": "RANAE",
        "credential": "APRN-CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-10",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1177381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eastland, TX

Sources for this page

Verify at the official NPI Registry.