Individual provider Active NPI

Samantha B McCarey, NP

  • Family Nurse Practitioner
  • Lake Jackson, TX
National Provider Identifier
1316459704
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP135367 Issued in TX
Practice address
208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Phone
(979) 297-4507
Fax
(979) 480-9074
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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 AP135367 TX Primary

Addresses

Primary practice location

208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789

Mailing address

208 Oak Dr S Ste 502
Lake Jackson, TX 77566-5789
Phone (979) 297-4507

Other names 1

  • Samantha D Gonzalez Former name

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
I20171206000094 TX Practitioner - Nurse Practitioner 0547527244 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
William E Burns Jr M D PLLCGroup PAC ID 7719369859, 2 clinicians

Practice addresses (Care Compare)

208 Oak Dr S
Suite 502
Lake Jackson, TX 77566-5789
Phone (979) 297-4507

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AP135367TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
William E Burns Jr M D, PLLC CurrentSince Nov 1, 2022 Accepting new patients
Procenture LLC CurrentSince Mar 9, 2019 Accepting new patients
Options Urgent Care & Wellness Center LLC CurrentSince Oct 27, 2024 Accepting new patients
Henry E. Martinez MD, PA PastSince Dec 15, 2003 Accepting new patients

Locations

2311 Canal St
Ste 214
Houston, TX 77003
Phone (281) 915-1630

201 Oak Dr S
Ste 101
Lake Jackson, TX 77566
Phone (979) 297-3098

208 Oak Dr S
Ste 502
Lake Jackson, TX 77566
Phone (979) 285-2273

201 Oak Dr S
Ste 203
Lake Jackson, TX 77566
Phone (979) 297-4507

Interoperability endpoints

  • Direct secure messaging: smccarey457550@direct.stlukeshealth.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/GHBCBD

Organizations & group practices 5

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 2

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": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1316459704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 502",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-297-4507",
            "fax_number": "979-480-9074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 OAK DR S STE 502",
            "city": "LAKE JACKSON",
            "state": "TX",
            "postal_code": "775665789",
            "telephone_number": "979-297-4507",
            "fax_number": "979-480-9074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAREY",
        "first_name": "SAMANTHA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP135367",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GONZALEZ",
            "middle_name": "D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lake Jackson, TX

Sources for this page

Verify at the official NPI Registry.