Individual provider Active NPI

Rachel Samuel, PA-C

  • Physician Assistant
  • Searcy, AR
National Provider Identifier
1265822092
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
P-T1516 Issued in AR
Practice address
3214 E Race Ave
Searcy, AR 72143-4810
Phone
(501) 268-6121
NPI assigned
Feb 2, 2015
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X P-T1516 AR Primary

Addresses

Primary practice location

3214 E Race Ave
Searcy, AR 72143-4810

Mailing address

3214 E Race Ave
Searcy, AR 72143-4810
Phone (501) 268-6121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20181011000100 AR Practitioner - Physician Assistant 6103178694 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Physicians LLCGroup PAC ID 0244213213, 36 clinicians

Practice addresses (Care Compare)

4301 Greathouse Springs Rd
Springdale, AR 72762-8701
Phone (479) 684-3132

601 W Maple Ave
Springdale, AR 72764-5374

Merit-based Incentive Payment System (MIPS)

Final score
84.39 of 100Reported as group
Quality
99.78
Improvement activities
0
Cost
78.6

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
P-T1516ARMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Physicians LLC CurrentSince Sep 1, 2024 Accepting new patients
Northwest Physicians LLC CurrentSince Sep 1, 2024 Accepting new patients
South Arkansas Emergency Physicians, LLP Physician Assistant CurrentSince Jan 23, 2022 Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

1255 S Shiloh Dr
Fayetteville, AR 72701
Phone (479) 757-1760

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

2710 S Rife Medical Ln
Rogers, AR 72758
Phone (479) 338-8000

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

Interoperability endpoints

  • Direct secure messaging: rachel.samuel.1@2229.direct.athenahealth.com

Organizations & group practices 7

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": "1422835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1265822092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 E RACE AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434810",
            "telephone_number": "501-268-6121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUEL",
        "first_name": "RACHEL",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-02",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AR",
            "license": "P-T1516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Searcy, AR

Sources for this page

Verify at the official NPI Registry.