Individual provider Active NPI

Samantha Helene McRoy, NP

  • Family Nurse Practitioner
  • Avon, CT
National Provider Identifier
1699253849
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
16993 Issued in CT
Practice address
339 W Main St
Avon, CT 06001-4322
Phone
(860) 696-2150
Fax
(860) 696-2155
NPI assigned
Jul 31, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 16993 CT Primary
Family Nurse Practitioner 363LF0000X 2018027299 MO

Addresses

Primary practice location

339 W Main St
Avon, CT 06001-4322

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337
Phone (860) 972-5507

Other practice location 1

6151 N Main Street Rd
Webb City, MO 64870-8189
Phone (417) 781-0408

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, CT2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180823001525 MO Practitioner - Nurse Practitioner 3870842891 Reassigns benefits to 1 organization
I20260604004443 CT Practitioner - Nurse Practitioner 3870842891 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Joplin LLCGroup PAC ID 0547300196, 288 clinicians

Practice addresses (Care Compare)

1717 S Range Line Rd B
Mercy Convenient Care
Joplin, MO 64804-3224
Phone (417) 623-2207

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16993CTMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Joplin LLC CurrentSince Aug 20, 2018 Accepting new patients

Locations

94 Main St
Cassville, MO 65625
Phone (417) 782-7722

1717 S Range Line Rd
Ste B
Joplin, MO 64804
Phone (417) 556-2231

100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300

6151 N Main Street Rd
Webb City, MO 64870
Phone (417) 556-5350

Interoperability endpoints

  • Direct secure messaging: smcroy352634@directc.mercy.net

Organizations & group practices 2

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 4

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": "1532995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1699253849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1290 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061094337",
            "telephone_number": "860-972-5507",
            "fax_number": "860-972-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 W MAIN ST",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060014322",
            "telephone_number": "860-696-2150",
            "fax_number": "860-696-2155"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6151 N Main Street Rd",
            "address_purpose": "LOCATION",
            "city": "Webb City",
            "state": "MO",
            "postal_code": "648708189",
            "country_code": "US",
            "telephone_number": "417-781-0408",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCROY",
        "first_name": "SAMANTHA",
        "middle_name": "HELENE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-31",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CT",
            "license": "16993",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2018027299",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

Verify at the official NPI Registry.