Individual provider Active NPI

Samantha Payton Rascoe, CRNP

  • Nurse Practitioner
  • Mobile, AL
National Provider Identifier
1356981930
Registry record updated Sep 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11150603 Issued in AL
Practice address
1720 Spring Hill Ave Ste 101
Mobile, AL 36604-1417
Phone
(251) 607-9797
NPI assigned
Jan 10, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F12191078 AL
Nurse Practitioner 363L00000X 11150603 AL Primary

Addresses

Primary practice location

1720 Spring Hill Ave Ste 101
Mobile, AL 36604-1417

Mailing address

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Other practice location 1

6701 Airport Blvd Ste D330
Mobile, AL 36608-6758
Phone (251) 607-9797

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20200305000583 AL Practitioner - Nurse Practitioner 6901233832 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

Suite
101 1720 Springhill Ave
Mobile, AL 36607-1417
Phone (251) 438-4600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11150603ALMDNurse Practitioner
F12191078ALMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Associates of Mobile Inc CurrentSince Sep 30, 2024 Accepting new patients
Cardiology Associates of Mobile Inc CurrentSince Sep 30, 2024 Accepting new patients

Locations

6701 Airport Blvd
Ste D330
Mobile, AL 36608
Phone (251) 607-9797

1720 Spring Hill Ave
Ste 101
Mobile, AL 36604
Phone (251) 438-4600

Interoperability endpoints

  • FHIR API: https://fhir.cardassoc.com/R4/open-R4
  • Direct secure messaging: sbaxter87295@directinfirmaryhealth.org
  • Direct secure messaging: samantharascoe@cam.allscriptsdirect.net

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 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": "1578614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726790400000",
    "number": "1356981930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6701 AIRPORT BLVD STE D330",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366086758",
            "telephone_number": "251-607-9797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 SPRING HILL AVE STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366041417",
            "telephone_number": "251-607-9797"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6701 Airport Blvd Ste D330",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366086758",
            "country_code": "US",
            "telephone_number": "251-607-9797",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RASCOE",
        "first_name": "SAMANTHA",
        "middle_name": "PAYTON",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-10",
        "last_updated": "2024-09-20",
        "certification_date": "2024-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AL",
            "license": "F12191078",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AL",
            "license": "11150603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.