Individual provider Active NPI

Nancy Carol-Samsel Walker, FNP-BC

  • Family Nurse Practitioner
  • Jefferson City, TN
National Provider Identifier
1891022026
Registry record updated Jul 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
14413 Issued in TN
Practice address
110 Hospital Dr
Jefferson City, TN 37760-5281
Phone
(865) 471-2431
Fax
(865) 471-2317
NPI assigned
Nov 9, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN0000145354 TN
Family Nurse Practitioner 363LF0000X 14413 TN Primary

Addresses

Primary practice location

110 Hospital Dr
Jefferson City, TN 37760-5281

Mailing address

P.O. Box 708760
Sandy, UT 84070-8760
Phone (801) 352-9500

Other practice location 1

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Other names 1

  • Nancy Carol Samsel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20100311000436 TN Practitioner - Nurse Practitioner 8123162914 Reassigns benefits to 3 organizations
I20200824003135 NC Practitioner - Nurse Practitioner 8123162914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2200 Essex LN
Morristown, TN 37814-1429
Phone (800) 424-3672

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN0000145354TNMDRegistered Nurse
14413TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Medical Group, PC CurrentSince Nov 1, 2024 Accepting new patients
Southeastern Emergency Services P C CurrentSince Aug 1, 2011 Accepting new patients
App of Tennessee Ed, PLLC CurrentSince Aug 1, 2019 Accepting new patients
Hospital Physician Services - Southeast Professional Corporation CurrentSince Sep 1, 2020 Accepting new patients
Southeastern Emergency Physicians LLC CurrentSince Aug 12, 2023 Accepting new patients
Apogee Medical Group Tennessee PC PastSince Oct 8, 2023 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

260 Hospital Dr
Brevard, NC 28712
Phone (828) 883-5286

124 One Center Ct
Franklin, NC 28734
Phone (828) 369-4214

288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000

125 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 765-4201

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

106 Medical Center Blvd
Fayetteville, TN 37334
Phone (931) 438-1100

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

1900 N Winston Rd
Ste 300
Knoxville, TN 37919
Phone (865) 271-6000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

550 Fort Loudoun Med Center Dr
Lenoir City, TN 37772
Phone (865) 271-6000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

726 McFarland St
Morristown, TN 37814
Phone (423) 522-6160

435 2nd St
Newport, TN 37821
Phone (423) 625-2200

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659052800000",
    "number": "1891022026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 708760",
            "city": "SANDY",
            "state": "UT",
            "postal_code": "840708760",
            "telephone_number": "801-352-9500",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 HOSPITAL DR",
            "city": "JEFFERSON CITY",
            "state": "TN",
            "postal_code": "377605281",
            "telephone_number": "865-471-2431",
            "fax_number": "865-471-2317"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "509 Biltmore Ave",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288014601",
            "country_code": "US",
            "telephone_number": "828-213-1111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "NANCY",
        "middle_name": "CAROL-SAMSEL",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2022-07-29",
        "certification_date": "2022-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "RN0000145354",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "14413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "SAMSEL",
            "middle_name": "CAROL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jefferson City, TN

Sources for this page

Verify at the official NPI Registry.