Individual provider Active NPI

Samantha Lee Fraley, APRN,MSN,FNP-C

  • Primary Care Nurse Practitioner
  • Prestonsburg, KY
National Provider Identifier
1780279166
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
3015817 Issued in KY
Practice address
4958 Kentucky Hwy 321
Prestonsburg, KY 41653
Phone
(606) 886-0999
NPI assigned
Mar 8, 2021
Last updated
Sep 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 3015817 KY Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20210528001046 KY Practitioner - Nurse Practitioner 7113326851 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Martin County Rural Health Clinic PLLCGroup PAC ID 9436372141, 9 clinicians
Frontier Medical Associates of Paintsville IncGroup PAC ID 2961820337, 13 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
84.04 of 100Reported as group
Quality
60.55
Promoting interoperability
100
Improvement activities
40
Cost
78.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
3015817KYMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Kings Daughters Medcial Specialties Inc CurrentSince Jul 1, 2024 Accepting new patients
Martin County Rural Health Clinic PLLC CurrentSince Sep 1, 2023 Accepting new patients
Frontier Medical Associates of Prestonsburg Inc CurrentSince Sep 1, 2023 Accepting new patients
Frontier Medical Associates of Paintsville Inc CurrentSince Sep 1, 2023 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Jul 1, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Albaree Health Services LLC CurrentSince Sep 1, 2023 Accepting new patients
Ashland Hospital Corporation PastSince Apr 1, 2021 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

354 N Mayo Trl
Paintsville, KY 41240
Phone (606) 372-0221

713 Broadway St
Ste 301
Paintsville, KY 41240
Phone (606) 372-1234

713 Broadway St
Ste 301B
Paintsville, KY 41240
Phone (606) 372-1234

400 University Dr
Ste 211A
Prestonsburg, KY 41653
Phone (606) 886-6622

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

  • Direct secure messaging: sfraley94822@direct.kdhealth.us

Organizations & group practices 9

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 8

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": "1615161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694563200000",
    "number": "1780279166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4958 KENTUCKY HWY 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4958 KENTUCKY HWY 321",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-886-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "842 E Mountain Pkwy",
            "address_purpose": "LOCATION",
            "city": "Salyersville",
            "state": "KY",
            "postal_code": "414658378",
            "country_code": "US",
            "telephone_number": "606-349-8100",
            "fax_number": "606-349-8150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "713 Broadway St Ste 301B",
            "address_purpose": "LOCATION",
            "city": "Paintsville",
            "state": "KY",
            "postal_code": "412401465",
            "country_code": "US",
            "telephone_number": "606-372-1234",
            "fax_number": "606-372-1240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 University Dr Ste 211A",
            "address_purpose": "LOCATION",
            "city": "Prestonsburg",
            "state": "KY",
            "postal_code": "416531080",
            "country_code": "US",
            "telephone_number": "606-886-6622",
            "fax_number": "606-886-1173",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "64 Kirk Plz",
            "address_purpose": "LOCATION",
            "city": "Inez",
            "state": "KY",
            "postal_code": "412246501",
            "country_code": "US",
            "telephone_number": "606-298-2520",
            "fax_number": "606-298-2522",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FRALEY",
        "first_name": "SAMANTHA",
        "middle_name": "LEE",
        "credential": "APRN,MSN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-08",
        "last_updated": "2023-09-13",
        "certification_date": "2023-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3015817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prestonsburg, KY

Sources for this page

Verify at the official NPI Registry.