Samantha Gail Roberts, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3012506 Issued in KY

Practice address

219 Mountain Parkway Spur Rd
Campton, KY 41301-8988

Phone

(606) 668-6932

Fax

(606) 668-3125

NPI assigned

Nov 13, 2018

Last updated

Nov 13, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in KY

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

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

United Clinics of Kentucky LLCGroup PAC ID 2668457094, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clark Regional Medical Center Hospital, Winchester, KY, CCN 180092
• Kentucky River Medical Center Hospital, Jackson, KY, CCN 181334

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• United Clinics of Kentucky LLC

  • Rural Health Clinic/Center
  • Beattyville, KY
  • NPI 1427161769
  Medicare reassignment Care Compare group NPD
• United Clinics of Kentucky LLC

  dba United Clinics Winchester

  • Rural Health Clinic/Center
  • Winchester, KY
  • NPI 1639908775
  NPD
• United Clinics of Kentucky LLC

  dba United Clinics West Liberty

  • Rural Health Clinic/Center
  • West Liberty, KY
  • NPI 1356907224
  NPD (past)
• United Clinics of Kentucky LLC

  dba United Clinics Jackson

  • Rural Health Clinic/Center
  • Jackson, KY
  • NPI 1386425684
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Jackson Hospital Corporation

  dba Kentucky River Medical Center

  • Critical Access Hospital
  • Jackson, KY
  • NPI 1346247962
  Care Compare affiliation
• Kentucky Hospital, LLC

  dba Clark Regional Medical Center

  • General Acute Care Hospital
  • Winchester, KY
  • NPI 1811213994
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1542067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542067200000",
    "number": "1467920082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6947 HIGHWAY 541",
            "city": "JACKSON",
            "state": "KY",
            "postal_code": "413397250",
            "telephone_number": "606-666-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "219 MOUNTAIN PARKWAY SPUR RD",
            "city": "CAMPTON",
            "state": "KY",
            "postal_code": "413018988",
            "telephone_number": "606-668-6932",
            "fax_number": "606-668-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "SAMANTHA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-13",
        "last_updated": "2018-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3012506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aaron Oliver, LPCA
• Hope A Pendergrass
• Quality Care Consultants
• Rehab Assistance
• Wendy Rice, OT
• Carmen Rogers, LPA
• Sheri Lyn Rose Haas, M.A., L.P.P.
• Nontascha Gwen Rose, MSN, APRN FNP-BC
• David Ruth, PHARMD
• Deanna Michelle Salyers, MS-CCC/SLP

• Family Nurse Practitioner in Campton, KY
• Providers in Campton, KY by specialty
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.