Nellie Idara Samuel, MSN, APRN,PMHNP-BC in Macon, GA

Nellie Idara Samuel, MSN, APRN,PMHNP-BC is a medicare enrolled "Nurse Practitioner - Psychiatric/mental Health" in Macon, Georgia. She graduated from nursing school in 2015 and has 9 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Northlight Counseling Associates Inc and her current practice location is 2400 Northside Xing, Macon, Georgia. You can reach out to her office (for appointments etc.) via phone at (865) 765-8225.

Nellie Idara Samuel is licensed to practice in Georgia (license number RN225022) 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 1821344557.

Contact Information

	Nellie Idara Samuel, MSN, APRN,PMHNP-BC
	2400 Northside Xing, Macon, GA 31210-2252
	(865) 765-8225
	Not Available

Map and Direction

Provider's Profile

Full Name	Nellie Idara Samuel
Gender	Female
Speciality	Nurse Practitioner
Experience	9 Years
Location	2400 Northside Xing, Macon, Georgia
Accepts Medicare Assignments	Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Nellie Idara Samuel graduated from nursing school in 2015

NPI Data:

NPI Number: 1821344557
Provider Enumeration Date: 07/31/2012
Last Update Date: 12/28/2020

Medicare PECOS Information:

PECOS PAC ID: 1759642044
Enrollment ID: I20180301000886

Medical Identifiers

Medical identifiers for Nellie Idara Samuel such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821344557	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WP0807X	Registered Nurse - Psychiatric/mental Health, Child & Adolescent	RN225022 (Georgia)	Secondary
163WP0808X	Registered Nurse - Psychiatric/mental Health	RN225022 (Georgia)	Secondary
163WP0809X	Registered Nurse - Psychiatric/mental Health, Adult	RN225022 (Georgia)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	AP10318 (Arizona)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	95014791 (California)	Secondary
363LP0808X	Nurse Practitioner - Psychiatric/mental Health	RN225022 (Georgia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Northlight Counseling Associates Inc	3072590603	4

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Nellie Idara Samuel allows following entities to bill medicare on her behalf.

Entity Name	Jewish Family & Childrens Service
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1023174455 PECOS PAC ID: 9234028671 Enrollment ID: O20040312001009

Entity Name	Northlight Counseling Associates Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1912943903 PECOS PAC ID: 3072590603 Enrollment ID: O20040701001084

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. Nellie Idara Samuel 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 Address	Practice Location Address
Nellie Idara Samuel, MSN, APRN,PMHNP-BC 1011 Post Drive, P O Box 6250, Salinas, CA 93912 Ph: (865) 765-8225	Nellie Idara Samuel, MSN, APRN,PMHNP-BC 2400 Northside Xing, Macon, GA 31210-2252 Ph: (865) 765-8225

Reviews and Comments

Nurse Practitioner Nurses in Macon, GA

Michelle Renee Brown, N.P. Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 655 1st St, Macon, GA 31201 Phone: 478-301-5930 Fax: 478-301-5932
Mrs. Jamie Lynn Harrelson, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4061 Vineville Ave, Macon, GA 31210 Phone: 478-757-7345
Skylar Nelson, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 330 Hospital Dr Ste 200, Macon, GA 31217 Phone: 478-745-1191
Jo Beth Roberts, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 777 Hemlock St, Macon, GA 31201 Phone: 478-633-6706 Fax: 478-633-5384
Jennifer Johnson Slade, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3888 Northside Dr, Macon, GA 31210 Phone: 478-477-4044 Fax: 478-477-7076
Mrs. Lynn Davis Waits, MSN, FNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 100 College Station Dr, Macon, GA 31206 Phone: 478-471-2092
Ms. Mirela Danaj, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 777 Hemlock Street Msc #104, Macon, GA 31201 Phone: 478-633-7550

Nellie Idara Samuel, MSN, APRN,PMHNP-BC - Medicare Nurse Practitioner in Macon, GA