Individual provider Active NPI

Samuel Dennis Stevenson, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Doylestown, PA
National Provider Identifier
1295463768
Registry record updated Sep 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
SP025950 Issued in PA
Practice address
1730 S Easton Rd
Doylestown, PA 18901-2885
Phone
(215) 345-3700
NPI assigned
Aug 11, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 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 SP025950 PA Primary

Addresses

Primary practice location

1730 S Easton Rd
Doylestown, PA 18901-2885

Mailing address

3940 Locust LN
Harrisburg, PA 17109-4023
Phone (717) 545-5787

Other practice location 1

40 Huff Avenue Ext Bldg 1
Greensburg, PA 15601-5484
Phone (724) 302-0804

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20240817000434 PA Practitioner - Nurse Practitioner 2668910944 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Avenues Recovery Medical Center at Valley ForgeGroup PAC ID 3678972130, 21 clinicians
Forge Medical Group, LLCGroup PAC ID 5597163949, 35 clinicians

Practice addresses (Care Compare)

1033 W Germantown Pike Valley Forge M
Norristown, PA 19403-3905
Phone (732) 886-6202

40 Huff Ave Ext
Greensburg, PA 15601-5484
Phone (724) 836-3960

Hospital & facility affiliations

  • Valley Forge Medical Center Hospital, Norristown, PA, CCN 390272

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP025950PAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Avenues Recovery Medical Center at Valley Forge CurrentSince May 9, 2024 Accepting new patients
Avenues Recovery Medical Center at Valley Forge CurrentSince May 9, 2024 Accepting new patients
Forge Medical Group, LLC CurrentSince Aug 8, 2025 Accepting new patients
Forge Medical Group, LLC CurrentSince Aug 8, 2025 Accepting new patients

Locations

850 Towbin Ave
Lakewood, NJ 08701
Phone (732) 886-6202

10 Bank St
Ste 830
White Plains, NY 10606
Phone (888) 224-7312

40 Huff Avenue Ext
Bldg 1
Greensburg, PA 15601
Phone (724) 302-0804

40 Huff Avenue Ext
Greensburg, PA 15601
Phone (724) 836-3960

1033 W Germantown Pike
Norristown, PA 19403
Phone (610) 539-8500

Organizations & group practices 4

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": "1660176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757289600000",
    "number": "1295463768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3940 LOCUST LN",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171094023",
            "telephone_number": "717-545-5787",
            "fax_number": "717-364-1234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 S EASTON RD",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012885",
            "telephone_number": "215-345-3700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Huff Avenue Ext Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156015484",
            "country_code": "US",
            "telephone_number": "724-302-0804",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENSON",
        "first_name": "SAMUEL",
        "middle_name": "DENNIS",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-11",
        "last_updated": "2025-09-08",
        "certification_date": "2025-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "PA",
            "license": "SP025950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

Verify at the official NPI Registry.