Ian M Samuelson, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

084420-23 Issued in NH

Practice address

1 Hampton Rd Unit 200
Exeter, NH 03833-2995

Phone

(603) 775-7575

NPI assigned

Jul 25, 2023

Last updated

Aug 26, 2024By the provider in NPPES

Sex

Male

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 NH

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, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Sports Medicine and Orthopaedics, PLLCGroup PAC ID 4082512611, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Portsmouth Regional Hospital Hospital, Portsmouth, NH, CCN 300029
• Exeter Hospital Inc Hospital, Exeter, NH, CCN 300023

Merit-based Incentive Payment System (MIPS)

Final score

74.62 of 100Reported as group

Quality

53.18

Promoting interoperability

79

Improvement activities

40

Cost

79.71

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isamuelson@aosm1214.srs-direct.com

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.

• Access Sports Medicine & Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Exeter, NH
  • NPI 1508938614
  Medicare reassignment Care Compare group NPD
• Access Sports Medicine & Orthopaedics, PLLC

  • Orthopaedic Surgery Physician
  • Portsmouth, NH
  • NPI 1508233511
  NPD
• Rye Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Rye, NH
  • NPI 1336562156
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Exeter Hospital Inc

  • General Acute Care Hospital
  • Exeter, NH
  • NPI 1437158433
  Care Compare affiliation
• HCA Health Services of New Hampshire Inc

  dba Portsmouth Regional Hospital

  • General Acute Care Hospital
  • Portsmouth, NH
  • NPI 1518913607
  Care Compare affiliation

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1972283893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332995",
            "telephone_number": "603-775-7575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HAMPTON RD UNIT 200",
            "city": "EXETER",
            "state": "NH",
            "postal_code": "038332995",
            "telephone_number": "603-775-7575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELSON",
        "first_name": "IAN",
        "middle_name": "M",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NH",
            "license": "084420-23",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loni Rowe, MSW
• Anne Jamison Ruffus, PT
• Martin Ruzek, MD
• Minerva Sabin, APRN
• Benjamin Ryan Saks
• Betsy B. Sandberg, M.D.
• Stephanie Santora, LICSW
• Abigail Elyse Sarna, RD, LD, CNSC
• Carol L Sarro, GNM,ARNP
• Laura Beth Sawyer, MSPT

• Nurse Practitioner in Exeter, NH
• Providers in Exeter, NH by specialty
• Nurse Practitioner in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; 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.