Mrs Samantha Yates Nuckols, PA-C - Medicare Physician Assistant in Creve Coeur, MO

Mrs Samantha Yates Nuckols, PA-C is a medicare enrolled "Physician Assistant" in Creve Coeur, Missouri. She went to Mercer University School Of Medicine and graduated in 2014 and has 10 years of diverse experience with area of expertise as Physician Assistant. She is a member of the group practice Mercy East Ambulatory Services Llc and her current practice location is 11445 Olive Blvd, Creve Coeur, Missouri. You can reach out to her office (for appointments etc.) via phone at (314) 428-9543.

Mrs Samantha Yates Nuckols is licensed to practice in Missouri (license number 2017044296) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1316353121.

Contact Information

Mrs Samantha Yates Nuckols, PA-C
11445 Olive Blvd,
Creve Coeur, MO 63141-7108
(314) 428-9543
(314) 428-9542

Map and Direction




Provider's Profile

Full NameMrs Samantha Yates Nuckols
GenderFemale
SpecialityPhysician Assistant
Experience10 Years
Location11445 Olive Blvd, Creve Coeur, Missouri
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Samantha Yates Nuckols attended and graduated from Mercer University School Of Medicine in 2014
  NPI Data:
  • NPI Number: 1316353121
  • Provider Enumeration Date: 07/02/2014
  • Last Update Date: 09/24/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 2860611019
  • Enrollment ID: I20191003002315

Medical Identifiers

Medical identifiers for Mrs Samantha Yates Nuckols such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1316353121NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363A00000XPhysician Assistant 0110-004588 (Virginia)Secondary
363A00000XPhysician Assistant (* (Not Available))Secondary
363A00000XPhysician Assistant 2017044296 (Missouri)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Mercy East Ambulatory Services Llc236573924092

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Samantha Yates Nuckols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Samantha Yates Nuckols, PA-C
115 Jameson Way,
Seven Fields, PA 16046-4325

Ph: (757) 406-9172
Mrs Samantha Yates Nuckols, PA-C
11445 Olive Blvd,
Creve Coeur, MO 63141-7108

Ph: (314) 428-9543

Reviews and Comments


Physician Assistant Nurses in Creve Coeur, MO

Daniel L Duelm, PA -C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141
Phone: 314-325-3068    Fax: 314-325-3069
Corey Martin,
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11330 Olive Blvd Ste 150, Creve Coeur, MO 63141
Phone: 314-336-2566    
Ms. Amie C Chang, P.A.
Physician Assistant
Medicare: Not Enrolled in Medicare
Practice Location: 11525 Olde Cabin Rd, Creve Coeur, MO 63141
Phone: 314-997-0554    Fax: 314-997-5086
Ms. Geraldine Prophete, PA
Physician Assistant
Medicare: Medicare Enrolled
Practice Location: 11445 Olive Blvd, Creve Coeur, MO 63141
Phone: 314-428-9543    Fax: 314-428-9542
Robert Francis Kelly, PA-C
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141
Phone: 314-325-3068    
Christina M Furrer, PA
Physician Assistant
Medicare: Accepting Medicare Assignments
Practice Location: 633 Emerson Rd Ste 20, Creve Coeur, MO 63141
Phone: 314-325-3068    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.