Mirabel Sama, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1165988 Issued in TX

Practice address

546 W Seminary Dr
Fort Worth, TX 76115-1361

Phone

(817) 924-7978

NPI assigned

Sep 25, 2025

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 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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iberia Medical Clinic, P.a.Group PAC ID 7911981600, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Iberia Medical Clinic, P.a.

  • Family Medicine Physician
  • Fort Worth, TX
  • NPI 1043331812
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1758758400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1477426575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3456 VISTA HIGHLANDS LN",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761352100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "546 W SEMINARY DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761151361",
            "telephone_number": "817-924-7978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMA",
        "first_name": "MIRABEL",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-25",
        "last_updated": "2025-10-24",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1165988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly M Salzman, LPC, LPC-SUPERVISOR
• Samantha Ouk Sam, BCBA
• Sam'S Club Optical
• Sam'S Club Optical
• Sam'S Club Optical
• Thomas Samaan, PT, DPT
• Ramin R Samadi, MD
• Yarleen Brisel Samalot- Pellot, SLP
• Masoud Saman, M.D.
• Serena Alana Samaniego, M.S., CCC-SLP

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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.