Individual provider Active NPI

Samuel Arthur, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fredericksburg, VA
National Provider Identifier
1649130782
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024195360 Issued in VA
Practice address
10809 Stacy Run
Fredericksburg, VA 22408-8040
Phone
(571) 275-0344
Fax
(571) 275-0344
NPI assigned
Nov 12, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024195360 VA Primary

Addresses

Primary practice location

10809 Stacy Run
Fredericksburg, VA 22408-8040

Mailing address

10809 Stacy Run
Fredericksburg, VA 22408-8040
Phone (571) 275-0344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20260123001148 VA Practitioner - Nurse Practitioner 7719464460 Reassigns benefits to 6 organizations

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
Mid Atlantic Long Term Specialty Care LLCGroup PAC ID 8921427162, 28 clinicians
Aevum BH VA LLCGroup PAC ID 3274067210, 35 clinicians

Practice addresses (Care Compare)

Williamsburg, VA 23185
Phone (201) 500-6992

Norfolk, VA 23502
Phone (757) 354-2885

4238 James Madison Hwy
Fork Union, VA 23055
Phone (804) 446-1710

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024195360VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Rhodium Care Group Inc CurrentSince Oct 19, 2025 Accepting new patients
Northstar Psychiatry Services Psychiatric/Mental Health CurrentSince Nov 18, 2025 Accepting new patients
Psychiatry of Texas PLLC Psychiatric/Mental Health CurrentSince Feb 11, 2026 Accepting new patients
Alliance Medical Team LLC CurrentSince Jan 25, 2026 Accepting new patients

Locations

7877 Willow Chase Blvd
Houston, TX 77070
Phone 8328694818109

8830 Virginia St
Amelia Ct Hse, VA 23002
Phone (804) 561-5611

2715 Dogtown Rd
Goochland, VA 23063
Phone (609) 335-6595

2220 Edward Holland Dr
Richmond, VA 23230
Phone (804) 678-7000

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1649130782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10809 STACY RUN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088040",
            "telephone_number": "571-275-0344",
            "fax_number": "571-275-0344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10809 STACY RUN",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224088040",
            "telephone_number": "571-275-0344",
            "fax_number": "571-275-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARTHUR",
        "first_name": "SAMUEL",
        "credential": "PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024195360",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.