Individual provider Active NPI

Leesa A. Sampson, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Boone, NC
National Provider Identifier
1972565174
Registry record updated Nov 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5005082 Issued in NC
Practice address
132 Poplar Grove Connector # B
Boone, NC 28607-5915
Phone
(828) 264-8759
Fax
(828) 264-5754
NPI assigned
Apr 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5005082 NC Primary

Addresses

Primary practice location

132 Poplar Grove Connector # B
Boone, NC 28607-5915

Mailing address

284 Executive Park Dr
Suite 100
Concord, NC 28025-1831
Phone (704) 939-1100

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address integratedcare@direct.daymarkrecovery.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20110422000108 NC Practitioner - Nurse Practitioner 1658556352 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Daymark Recovery Services IncGroup PAC ID 0547233975, 132 clinicians

Practice addresses (Care Compare)

132 Poplar Grove Connector
Suite B
Boone, NC 28607-6121
Phone (828) 264-8759

Hospital & facility affiliations

  • Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as group
Quality
89.03
Promoting interoperability
82
Improvement activities
40
Cost
90.28

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Daymark Recovery Services, Inc. CurrentSince Jan 25, 2012 Accepting new patients
New River Service Authority Past Accepting new patients
New River Service Authority Past Accepting new patients

Locations

132 Poplar Grove Connector
Ste B
Boone, NC 28607
Phone (828) 264-8759

284 Executive Park Dr
Ste 100
Kannapolis, NC 28025
Phone (704) 939-1118

1104A S Main St
Lexington, NC 27292
Phone (336) 300-8836

360 Beech St
Newland, NC 28657
Phone (828) 733-5889

2129 Statesville Blvd
Salisbury, NC 28147
Phone (704) 633-3616

1105 E Cardinal St
Siler City, NC 27344
Phone (919) 663-2127

Interoperability endpoints

  • Direct secure messaging: leesa.sampson.p1@direct.daymarkrecovery.nextgenshare.com

Organizations & group practices 3

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 2

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701043200000",
    "number": "1972565174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "284 EXECUTIVE PARK DR",
            "address_2": "SUITE 100",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280251831",
            "telephone_number": "704-939-1100",
            "fax_number": "704-939-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 POPLAR GROVE CONNECTOR # B",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075915",
            "telephone_number": "828-264-8759",
            "fax_number": "828-264-5754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "LEESA",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2023-11-27",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5005082",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "integratedcare@direct.daymarkrecovery.nextgenshare.com",
            "affiliation": "Y",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "284 Executive Park Dr",
            "address_2": "Suite 100",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280251831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

Verify at the official NPI Registry.