Individual provider Active NPI

Stephen K Samoei, NP

  • Nurse Practitioner
  • Albuquerque, NM
National Provider Identifier
1699336859
Registry record updated Oct 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
56662 Issued in NM
Practice address
3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone
(505) 998-7400
Fax
(505) 998-7741
NPI assigned
Jun 27, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2022

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 56662 NM
Nurse Practitioner 363L00000X 56662 NM Primary

Addresses

Primary practice location

3821 Masthead St NE
Albuquerque, NM 87109-4679

Mailing address

3821 Masthead St NE
Albuquerque, NM 87109-4679
Phone (505) 998-7400

Other identifiers 1

IdentifierTypeStateIssuer
20381832MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 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
I20190820003896 NM Practitioner - Nurse Practitioner 1658609250 Reassigns benefits to 4 organizations
I20240712001778 TX Practitioner - Nurse Practitioner 1658609250 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uka Healthcare Services LLCGroup PAC ID 1355724303, 7 clinicians
Presbyterian Healthcare ServicesGroup PAC ID 9234041708, 1,390 clinicians

Practice addresses (Care Compare)

1740 Grande Blvd SE
Suite E 10
Rio Rancho, NM 87124-1799
Phone (505) 504-1147

6100 Pan American E Fwy NE
Suite 390
Albuquerque, NM 87109-3401
Phone (505) 823-1805

Hospital & facility affiliations

  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
56662NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Jul 29, 2019 Accepting new patients
Uka Healthcare Services LLC CurrentSince Aug 1, 2025 Accepting new patients
Pueblo of Jemez CurrentSince May 4, 2024 Accepting new patients
Renal Medicine Associates LTD. CurrentSince Sep 1, 2020 Accepting new patients
Pueblo of Jemez CurrentSince May 4, 2024 Accepting new patients
Signify Health, LLC Nurse Practitioner CurrentSince Sep 15, 2024 Accepting new patients
Presbyterian Healthcare Services CurrentSince Jul 29, 2019 Accepting new patients

Locations

6100 Pan American East Fwy NE
Ste 390
Albuquerque, NM 87109
Phone (505) 823-1805

6100 Pan American East Fwy NE
Albuquerque, NM 87109
Phone (505) 823-1010

500 Marquette Ave NW
Ste 1200
Albuquerque, NM 87102
Phone (505) 295-6685

3821 Masthead St NE
Albuquerque, NM 87109
Phone (505) 998-7400

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1740 Grande Blvd SE
Ste 10
Rio Rancho, NM 87124
Phone (505) 504-1147

1740 Grande Blvd SE
Ste E
Rio Rancho, NM 87124

313 W Country Club Rd
Ste 12
Roswell, NM 88201
Phone (505) 627-5828

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: ssamoei321102@ahs.direct-ci.com

Organizations & group practices 8

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 2

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": "1561593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666742400000",
    "number": "1699336859",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 MASTHEAD ST NE",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871094679",
            "telephone_number": "505-998-7400",
            "fax_number": "505-998-7741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOEI",
        "first_name": "STEPHEN",
        "middle_name": "K",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-27",
        "last_updated": "2022-10-26",
        "certification_date": "2022-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "56662",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "56662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20381832",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.