Individual provider Active NPI

Samantha Rae Elmore, AGACNP-BC, APRN

  • Acute Care Nurse Practitioner
  • Greenville, TX
National Provider Identifier
1700417466
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP144891 Issued in TX
Practice address
4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone
(903) 408-5722
NPI assigned
Jan 31, 2020
Last updated
Sep 3, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP144891 TX Primary

Addresses

Primary practice location

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852

Mailing address

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5722

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200424001125 TX Practitioner - Nurse Practitioner 7113357625 Reassigns benefits to 3 organizations

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
Hunt Memorial Hospital DistrictGroup PAC ID 6406768936, 36 clinicians
Moksh Medical Group PLLCGroup PAC ID 8123310414, 7 clinicians

Practice addresses (Care Compare)

4215 Joe Ramsey Blvd E
Greenville, TX 75401-7852
Phone (903) 408-5000

7 Medical Pkwy
Dallas, TX 75234-7829
Phone (903) 408-1470

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Moksh Medical Group PLLC Multi-Specialty CurrentSince Dec 8, 2025 Accepting new patients
Hunt Memorial Hospital District Multi-Specialty CurrentSince Jun 1, 2002 Accepting new patients
Hunt Memorial Hospital District CurrentSince Jun 1, 2002 Accepting new patients
Prime Infectious Disease Group PLLC Multi-Specialty CurrentSince Jun 1, 2022 Accepting new patients
Jiya Medical Group PLLC Multi-Specialty Past Accepting new patients
Texas Em-I Medical Services, PA Multi-Specialty Past Accepting new patients

Locations

9 Medical Pkwy
Ste 102
Farmers Branch, TX 75234
Phone (530) 788-6631

7 Medical Pkwy
Farmers Brnch, TX 75234
Phone (972) 247-1000

4215 Ramsey Blvd E
Greenville, TX 75401
Phone (903) 408-1470

8301 Lakeview Pkwy
Ste 107
Rowlett, TX 75088
Phone (972) 475-5122

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1580428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1700417466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4215 JOE RAMSEY BLVD E",
            "city": "GREENVILLE",
            "state": "TX",
            "postal_code": "754017852",
            "telephone_number": "903-408-5722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMORE",
        "first_name": "SAMANTHA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "credential": "AGACNP-BC, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-31",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP144891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, TX

Sources for this page

Verify at the official NPI Registry.