Individual provider Active NPI

Samantha Scott, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Tyler, TX
National Provider Identifier
1790303170
Registry record updated Jan 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78293 Issued in NM
Practice address
1000 S Beckham Ave
Tyler, TX 75701-1908
Phone
(903) 590-5612
Fax
(903) 535-6884
NPI assigned
Jul 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2026

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 AP145880 TX
Family Nurse Practitioner 363LF0000X 78293 NM Primary

Addresses

Primary practice location

1000 S Beckham Ave
Tyler, TX 75701-1908

Mailing address

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, MO, NH4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230518002037 TX Practitioner - Nurse Practitioner 9931513769 Reassigns benefits to 2 organizations
I20240723004268 NM Practitioner - Nurse Practitioner 9931513769 Reassigns benefits to 1 organization
I20251211003533 MO Practitioner - Nurse Practitioner 9931513769 Reassigns benefits to 1 organization
I20260122003712 NH Practitioner - Nurse Practitioner 9931513769 Reassigns benefits to 4 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
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians
Hospitalist Medicine Physicians of Texas PLLCGroup PAC ID 3476688318, 685 clinicians
Valley Regional Hospital IncGroup PAC ID 5799683280, shared by 3 NPIs, 33 clinicians
Concord Hospital-LaconiaGroup PAC ID 7012326259, 275 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611

2211 Lomas Blvd NE
Albuquerque, NM 87106-2719
Phone (505) 272-2111

243 Elm St
Valley Regional Hospital Hospitalis
Claremont, NH 03743-4921
Phone (603) 542-7771

80 Highland St
Laconia, NH 03246-3235
Phone (603) 527-2819

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78293NMMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
QV Urgent Care TX PLLC Family Medicine CurrentSince Apr 5, 2023 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Concord Hospital-Franklin CurrentSince Feb 3, 2026 Accepting new patients
Ies HSP Missouri LLC CurrentSince Nov 10, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2025 Accepting new patients
Concord Hospital-Franklin CurrentSince Feb 3, 2026 Accepting new patients
QV Urgent Care TX PLLC CurrentSince Apr 5, 2023 Accepting new patients
Concord Hospital-Laconia Family Medicine CurrentSince Jan 1, 2026 Accepting new patients
Etmc Physician Group Inc. CurrentSince Oct 1, 2025 Accepting new patients

Locations

3100 Oak Grove Rd
Rombauer, MO 63901
Phone (573) 776-2000

250 Pleasant St
Concord, NH 03301
Phone (603) 225-2711

15 Aiken Ave
Franklin, NH 03235
Phone (603) 934-2060

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

238 Daniel Webster Hwy
Meredith, NH 03253
Phone (603) 279-7464

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

300 Wilson St
Henderson, TX 75652
Phone (903) 655-6536

1600 US Highway 79 S
Henderson, TX 75654
Phone (903) 657-9571

501 S Ragsdale St
Ste 275
Jacksonville, TX 75766

1602 S Jackson St
Jacksonville, TX 75766
Phone (409) 782-5813

1000 S Beckham Ave
Tyler, TX 75701
Phone (903) 526-1068

Organizations & group practices 11

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 6

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": "1594425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769817600000",
    "number": "1790303170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-590-5612",
            "fax_number": "903-535-6884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S BECKHAM AVE",
            "city": "TYLER",
            "state": "TX",
            "postal_code": "757011908",
            "telephone_number": "903-590-5612",
            "fax_number": "903-535-6884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "SAMANTHA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-11",
        "last_updated": "2026-01-31",
        "certification_date": "2026-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP145880",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "78293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyler, TX

Sources for this page

Verify at the official NPI Registry.