Individual provider Active NPI

Samantha April Saale, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fenton, MO
National Provider Identifier
1255028411
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
2023014337 Issued in MO
Practice address
1710 Fenpark Dr Ste 506
Fenton, MO 63026-2920
Phone
(314) 937-6253
NPI assigned
Apr 19, 2023
Last updated
Sep 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 2023014337 MO Primary

Addresses

Primary practice location

1710 Fenpark Dr Ste 506
Fenton, MO 63026-2920

Mailing address

1710 Fenpark Dr Ste 506
Fenton, MO 63026-2920
Phone (314) 937-6253

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20251118000415 MO Practitioner - Nurse Practitioner 2062903099 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1710 Fenpark Dr
Suite 506
Fenton, MO 63026-2920
Phone (314) 937-6253

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2023014337MOMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sas Family Psychiatric Consulting LLC Psychiatric/Mental Health CurrentSince Sep 9, 2025 Accepting new patients

Locations

1710 Fenpark Dr
Ste 506
Fenton, MO 63026
Phone (314) 937-6253

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22626/brand/1/csg/1/fhir/r4

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": "1681862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1255028411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1710 FENPARK DR STE 506",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262920",
            "telephone_number": "314-937-6253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1710 FENPARK DR STE 506",
            "city": "FENTON",
            "state": "MO",
            "postal_code": "630262920",
            "telephone_number": "314-937-6253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAALE",
        "first_name": "SAMANTHA",
        "middle_name": "APRIL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-19",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MO",
            "license": "2023014337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fenton, MO

Sources for this page

Verify at the official NPI Registry.