Samantha Lee Fraley, APRN,MSN,FNP-C
Individual provider Active NPI Primary Care Nurse Practitioner · Prestonsburg, KY
NPI 1780279166 · NPPES record last updated Sep 13, 2023
Key facts
- NPI
- 1780279166
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Primary Care Nurse Practitioner 363LP2300X
- License
- 3015817 (KY)
- Practice address
- 4958 Kentucky Hwy 321
Prestonsburg, KY 41653 - Phone
- (606) 886-0999
- NPI assigned
- Mar 8, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kings Daughters Medical Specialties Inc
Martin County Rural Health Clinic PLLC
Frontier Medical Associates of Paintsville Inc
Practice addresses (Care Compare)
122 Saint Christopher Dr
Ashland, KY 41101-7016
Phone (606) 836-0202
64 Kirk PLZ
Inez, KY 41224-6501
Phone (606) 298-2520
713 Broadway St
Suite 301B
Paintsville, KY 41240-1465
Phone (606) 372-1234
Hospital & facility affiliations
- King'S Daughters' Medical Center
- Paintsville Arh Hospital
- Highlands Arh Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.04 of 100
- Quality
- 60.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.81
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210528001046 | KY | Practitioner - Nurse Practitioner | 7113326851 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Master of Science - Nursing, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3015817 | KY | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kings Daughters Medical Specialties Inc | Current |
Accepting new patients | |
| Martin County Rural Health Clinic PLLC | Current |
Accepting new patients | |
| Albaree Health Services LLC | Current |
Accepting new patients | |
| Frontier Medical Associates of Paintsville Inc | Current |
Accepting new patients | |
| Kings Daughters Medcial Specialties Inc | Current |
Accepting new patients | |
| Frontier Medical Associates of Prestonsburg Inc | Current |
Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Current | Accepting new patients | |
| Kings Daughters Medical Specialties Inc | Past | Accepting new patients |
Locations
122 Saint Christopher Dr
Ashland, KY 41101
Phone (606) 836-0202
2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560
617 23rd St
Ste 19
Ashland, KY 41101
Phone (606) 325-2221
64 Kirk Plz
Inez, KY 41224
Phone (606) 298-2520
713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234
713 Broadway St
Ste 301
Paintsville, KY 41240
Phone (606) 372-1234
354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221
400 University Dr
Ste 211A
Prestonsburg, KY 41653
Phone (606) 886-6622
4958 Ky Route 321
Prestonsburg, KY 41653
Phone (606) 886-0999
842 E Mountain Pkwy
Salyersville, KY 41465
Phone (606) 349-8100
900 Tom Frazier Way
#200
Salyersville, KY 41465
Phone (606) 349-8100
Interoperability endpoints
- sfraley94822@direct.kdhealth.us
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 3015817 | KY | Yes |
Addresses
Primary practice location
4958 Kentucky Hwy 321
Prestonsburg, KY 41653
Mailing address
4958 Kentucky Hwy 321
Prestonsburg, KY 41653
Phone (606) 886-0999
Other practice location 1
842 E Mountain Pkwy
Salyersville, KY 41465-8378
Phone (606) 349-8100
Other practice location 2
713 Broadway St Ste 301B
Paintsville, KY 41240-1465
Phone (606) 372-1234
Other practice location 3
400 University Dr Ste 211A
Prestonsburg, KY 41653-1080
Phone (606) 886-6622
Other practice location 4
64 Kirk Plz
Inez, KY 41224-6501
Phone (606) 298-2520
Other providers in Prestonsburg, KY
- Jennifer Fowler
- Melissa Fowler
- Crystal Fox
- Ronnie Fox
- Amanda Frakes
- Virginia Fraley
- Ralph Francie
- Bill Francis
- Demetra Francis
- Ethan Francis
All providers in Prestonsburg, KY · Primary Care Nurse Practitioner in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.