Individual provider Active NPI

Samantha Mindell, MSN, RN, ACNPC-AG

  • Acute Care Nurse Practitioner
  • Troy, MI
National Provider Identifier
1467312959
Registry record updated May 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
4704377138 Issued in MI
Practice address
4600 Investment Dr Ste 200
Troy, MI 48098-6375
Phone
(248) 267-5050
NPI assigned
Nov 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 4704377138 MI Primary
Gerontology Nurse Practitioner 363LG0600X 4704377138 MI

Addresses

Primary practice location

4600 Investment Dr Ste 200
Troy, MI 48098-6375

Mailing address

26901 Beaumont Blvd Ste 3D
Southfield, MI 48033-3849

Other practice location 1

5821 W Maple Rd Ste 190
West Bloomfield, MI 48322-2275
Phone (248) 855-0407

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address smindell2886387@epic00.corewelldirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20260305003419 MI Practitioner - Nurse Practitioner 0244712495 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beaumont Medical Group- Specialty ServicesGroup PAC ID 7214299866, 868 clinicians

Practice addresses (Care Compare)

28100 Grand River Ave
Farmington Hills, MI 48336-5970

4550 Investment Dr
Suite 250
Troy, MI 48098-6362
Phone (248) 267-5050

4600 Investment Dr
Suite 200
Troy, MI 48098-6375
Phone (248) 267-5050

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
4704377138MIMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beaumont Medical Group- Specialty Services CurrentSince Apr 26, 2026 Accepting new patients

Locations

26901 Beaumont Blvd
Ste 3D
Southfield, MI 48033
Phone (947) 522-1860

4600 Investment Dr
Ste 200
Troy, MI 48098
Phone (248) 267-5050

Interoperability endpoints

  • Direct secure messaging: smindell2886387@epic00.corewelldirect.org

Organizations & group practices 1

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 3

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": "1763337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779148800000",
    "number": "1467312959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26901 BEAUMONT BLVD STE 3D",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480333849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 INVESTMENT DR STE 200",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480986375",
            "telephone_number": "248-267-5050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5821 W Maple Rd Ste 190",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483222275",
            "country_code": "US",
            "telephone_number": "248-855-0407",
            "fax_number": "248-855-1323",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MINDELL",
        "first_name": "SAMANTHA",
        "credential": "MSN, RN, ACNPC-AG",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-11-17",
        "last_updated": "2026-05-19",
        "certification_date": "2026-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "MI",
            "license": "4704377138",
            "primary": true
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MI",
            "license": "4704377138",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "smindell2886387@epic00.corewelldirect.org",
            "affiliation": "N",
            "address_1": "4600 Investment Dr Ste 200",
            "city": "Troy",
            "state": "MI",
            "country_code": "US",
            "postal_code": "480986375",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.