Grace Marie Samson, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

837808 Issued in NV

Practice address

3059 S Maryland Pkwy Ste 202
Las Vegas, NV 89109-6209

Phone

(702) 680-1500

NPI assigned

Oct 17, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Absolute Primary Care CenterGroup PAC ID 3870717192, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Absolute Primary Care Center

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1205265279
  Medicare reassignment Care Compare group NPD
• Abide Health Medical a Professional Corp.

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1447034871
  Medicare reassignment NPD
• Celestial Health Solutions

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1124731401
  Medicare reassignment NPD

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

{
    "created_epoch": "1634428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634428800000",
    "number": "1811650849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3059 S MARYLAND PKWY STE 2023059S",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891092294",
            "telephone_number": "702-680-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3059 S MARYLAND PKWY STE 202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891096209",
            "telephone_number": "702-680-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMSON",
        "first_name": "GRACE",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-17",
        "last_updated": "2021-10-17",
        "certification_date": "2021-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "837808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sams West Inc
• Sams West Inc
• Darby Mercedes Sams
• Samsajor LLC
• Samsara Adde LLC
• Raphael Nico Samson
• Ricardo A Samson, M.D.
• Shaun-Anthony Samson
• Samuel Auerbach MD LTD
• Ivett Samuel Rodriguez

• Family Nurse Practitioner in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Family Nurse Practitioner in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2021; 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.