Individual provider Active NPI

Samantha Adkinson Mayfield, FNP-C

  • Nurse Practitioner
  • Rockport, TX
National Provider Identifier
1366220725
Registry record updated Jan 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
1136618 Issued in TX
Practice address
1121 Highway 35 N
Rockport, TX 78382-3112
Phone
(361) 221-1945
Fax
(361) 400-5319
NPI assigned
Sep 18, 2023
Last updated
Jan 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 1136618 TX Primary

Addresses

Primary practice location

1121 Highway 35 N
Rockport, TX 78382-3112

Mailing address

PO Box 1209
Aransas Pass, TX 78335-1209
Phone (361) 221-1945

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
I20241211000607 TX Practitioner - Nurse Practitioner 3577099712 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1136618TXMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aransas Internal & Family Medicine PLLC CurrentSince Jan 1, 2025 Accepting new patients
Internal Medicine Associates CurrentSince Sep 16, 2024 Accepting new patients

Locations

1711 W Wheeler Ave
Ste 3
Aransas Pass, TX 78336
Phone (361) 226-3436

1121 Highway 35 N
Rockport, TX 78382
Phone (361) 221-1945

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IDFHBD
  • Direct secure messaging: samantha.mayfield.1@18156.direct.athenahealth.com

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, 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": "1694995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736380800000",
    "number": "1366220725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1209",
            "city": "ARANSAS PASS",
            "state": "TX",
            "postal_code": "783351209",
            "telephone_number": "361-221-1945",
            "fax_number": "361-400-5319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1121 HIGHWAY 35 N",
            "city": "ROCKPORT",
            "state": "TX",
            "postal_code": "783823112",
            "telephone_number": "361-221-1945",
            "fax_number": "361-400-5319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "SAMANTHA",
        "middle_name": "ADKINSON",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-18",
        "last_updated": "2025-01-09",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1136618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockport, TX

Sources for this page

Verify at the official NPI Registry.