Samantha Ysenia Morrison, NURSE PRACTITONER

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1033654 Issued in TX

Practice address

2315 E Southlake Blvd Ste 110
Southlake, TX 76092-6684

Phone

(817) 902-9220

Fax

(469) 899-0759

NPI assigned

Apr 3, 2021

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

Other names 1

• Ms. Samantha Ysenia Esselinger Other name

Electronic endpoints 1

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, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Orthopaedics of Irving PLLCGroup PAC ID 3779667092, 57 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.morrison@hca7.eclinicaldirectplus.com

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.

• Elite Orthopaedics of Irving PLLC

  • Orthopaedic Surgery Physician
  • Irving, TX
  • NPI 1982892105
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617408000000",
    "number": "1609455104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16775 ADDISON RD STE 200",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "750015654",
            "telephone_number": "469-899-0759",
            "fax_number": "469-899-0759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 E SOUTHLAKE BLVD STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926684",
            "telephone_number": "817-902-9220",
            "fax_number": "469-899-0759"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12168 Walden Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "762445572",
            "country_code": "US",
            "telephone_number": "817-994-4342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORRISON",
        "first_name": "SAMANTHA",
        "middle_name": "YSENIA",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-03",
        "last_updated": "2021-04-03",
        "certification_date": "2021-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1033654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SOUTHLAKE",
            "affiliation": "N",
            "endpointDescription": "Addison",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2315 E Southlake Blvd Ste 110",
            "city": "Southlake",
            "state": "TX",
            "country_code": "US",
            "postal_code": "760926684",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "ESSELINGER",
            "middle_name": "YSENIA",
            "prefix": "MS.",
            "credential": "NURSE PRACITIONER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Halie Annette Moreno, PA-C, MPAS, MPH
• Nathaniel Moreno, RBT
• Amanda Morgan
• Jenna Morgan
• Lashanda Renee Morris
• Steven M Morrison, M.D.
• Carla Larue Mosby, APRN, FNP
• Amy Moser, COTA
• Richard Bradley Moss, DDS, PLLC
• Pooya Motaghedi

• Nurse Practitioner in Southlake, TX
• Providers in Southlake, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2021; 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.