Samuel Allen Nix, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A004574 Issued in AR

Practice address

3809 E 9TH St Ste 15
Texarkana, AR 71854-5818

Phone

(870) 621-0080

Fax

(870) 621-0081

NPI assigned

Feb 17, 2015

Last updated

May 24, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX, AR2 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

Specialty

Nurse Practitioner

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Union Emergency Physicians PLLCGroup PAC ID 7810359759, 63 clinicians

Bradley Bibb MD PLLCGroup PAC ID 4789715285, shared by 13 NPIs, 71 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Encompass Health Home Health Home health agency, Texarkana, AR, CCN 047168
• Elite Home Health Home health agency, Nashville, AR, CCN 047138
• Christus St Michael Health System Hospital, Texarkana, TX, CCN 450801
• Christus Mother Frances Hospital Hospital, Tyler, TX, CCN 450102

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samuel.nix.1@2424.direct.athenahealth.com

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.

• Union Emergency Physicians, PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1023798501
  Medicare reassignment Care Compare group NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Ash Flat, AR
  • NPI 1699097436
  Medicare reassignment NPD
• Acute Care Specialists

  • Emergency Medicine Physician
  • Longview, TX
  • NPI 1740655273
  Medicare reassignment NPD
• Texarkana Emergency Physicians PLLC

  • Emergency Medicine Physician
  • Texarkana, TX
  • NPI 1871813345
  Medicare reassignment NPD
• Travis County Emergency Physicians PA

  • Emergency Medicine Physician
  • Austin, TX
  • NPI 1962440933
  Medicare reassignment NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Salem, AR
  • NPI 1568200061
  NPD
• Bradley Bibb MD PLLC

  • Rural Health Clinic/Center
  • Chickasha, OK
  • NPI 1013724764
  NPD
• Bradley Bibb MD PLLC

  dba Access Medical Clinic

  • Rural Health Clinic/Center
  • Black Rock, AR
  • NPI 1437569837
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Ahm Action Home Health, LP

  dba Enhabit Home Health

  • Home Health Agency
  • Texarkana, AR
  • NPI 1780076208
  Care Compare affiliation
• Southwest Arkansas Homecare, LLC

  dba Elite Home Health

  • Home Health Agency
  • Nashville, AR
  • NPI 1881892404
  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba Christus St. Michael Health System

  • General Practice Physician
  • Texarkana, TX
  • NPI 1184623266

  Hospital

  Care Compare affiliation
• Christus Health Ark-la-Tex

  dba CHRISTUS St. Michael Health System

  • General Acute Care Hospital
  • Texarkana, TX
  • NPI 1295736734
  Care Compare affiliation
• Mother Frances Hospital Regional Health Care Center

  dba Christus Mother Frances Hospital Tyler

  • General Acute Care Hospital
  • Tyler, TX
  • NPI 1679578439
  Care Compare affiliation

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716508800000",
    "number": "1780075473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4196 HIGHWAY 62 412 STE A",
            "city": "HARDY",
            "state": "AR",
            "postal_code": "725428002",
            "telephone_number": "870-856-1202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3809 E 9TH ST STE 15",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718545818",
            "telephone_number": "870-621-0080",
            "fax_number": "870-621-0081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIX",
        "first_name": "SAMUEL",
        "middle_name": "ALLEN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2024-05-24",
        "certification_date": "2024-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AR",
            "license": "A004574",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP127398",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "211556758",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Janet M Nelson, LCSW
• Neurodiagnostics Tex, LLC
• Austin Bailey Newkirk
• Alexis Nichols, MSN, APRN, FNP-BC
• Matthew Wayne Nix, MD
• Deirdre Nixon
• Larry Dewayne Noel
• James O'Neal
• Kevin Henderson O'Sullivan, M.D.
• Oak and Ember Counseling and Consulting Services, PLLC

• Family Nurse Practitioner in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Family Nurse Practitioner in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.