Individual provider Active NPI

Stacey M Sams, CNP

  • Family Nurse Practitioner
  • Logan, OH
National Provider Identifier
1619459641
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.023605 Issued in OH
Practice address
751 State Route 664 N Unit a
Logan, OH 43138-9250
Phone
(740) 385-9646
Fax
(740) 385-0630
NPI assigned
Sep 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.023605 OH
Family Nurse Practitioner 363LF0000X APRN.CNP.023605 OH Primary

Addresses

Primary practice location

751 State Route 664 N Unit a
Logan, OH 43138-9250

Mailing address

416 Colegate Dr BLDG 3
Marietta, OH 45750-9549
Phone (740) 374-3526

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stacey.sams@mmhs.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20180921002074 OH Practitioner - Nurse Practitioner 0244581726 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Marietta Memorial HospitalGroup PAC ID 8224928965, 387 clinicians

Practice addresses (Care Compare)

751 State Route 664 N
Unit a
Logan, OH 43138-9250
Phone (740) 385-9646

Hospital & facility affiliations

  • Marietta Memorial Hospital Hospital, Marietta, OH, CCN 360147
  • Hocking Valley Community Hospital Hospital, Logan, OH, CCN 361330
  • Fairfield Medical Center Hospital, Lancaster, OH, CCN 360072

Merit-based Incentive Payment System (MIPS)

Final score
76.95 of 100Reported as group
Quality
43.39
Promoting interoperability
100
Improvement activities
40
Cost
76.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.023605OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Selby General Hospital CurrentSince Dec 3, 2025 Accepting new patients
Marietta Memorial Hospital CurrentSince Sep 1, 2025 Accepting new patients
Selby General Hospital CurrentSince Dec 3, 2025 Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

751 State Route 664 N
Unit A
Logan, OH 43138
Phone (740) 385-9646

416 Colegate Dr
#3
Marietta, OH 45750
Phone (740) 236-9047

1106 Colegate Dr
Marietta, OH 45750
Phone (740) 374-7700

401 Matthew St
Marietta, OH 45750
Phone (740) 374-1400

Networks

  • Optimum HealthCare HMO Network

Organizations & group practices 4

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": "1536192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765411200000",
    "number": "1619459641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 COLEGATE DR BLDG 3",
            "city": "MARIETTA",
            "state": "OH",
            "postal_code": "457509549",
            "telephone_number": "740-374-3526",
            "fax_number": "740-374-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "751 STATE ROUTE 664 N UNIT A",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431389250",
            "telephone_number": "740-385-9646",
            "fax_number": "740-385-0630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMS",
        "first_name": "STACEY",
        "middle_name": "M",
        "credential": "CNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-06",
        "last_updated": "2025-12-11",
        "certification_date": "2025-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.023605",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.023605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stacey.sams@mmhs.medicity.net",
            "affiliation": "N",
            "address_1": "751 State Route 664 N Unit A",
            "city": "Logan",
            "state": "OH",
            "country_code": "US",
            "postal_code": "431389250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Logan, OH

Sources for this page

Verify at the official NPI Registry.