Samantha Rae Lynn, FNP-C is a medicare enrolled "Nurse Practitioner - Family" in Bolt, West Virginia. She graduated from nursing school in 2025 and has 1 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Evolutionary Healthcare West Virginia Pllc and her current practice location is
Po Box 423, Bolt, West Virginia. You can reach out to her office (for appointments etc.) via phone at
(304) 673-1986.
Samantha Rae Lynn is licensed to practice in West Virginia (license number 124301) 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 1891668166.
Provider's Profile
| Full Name | Samantha Rae Lynn |
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| Gender | Female |
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| Speciality | Nurse Practitioner |
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| Experience | 1 Years |
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| Location | Po Box 423, Bolt, West Virginia |
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| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Samantha Rae Lynn graduated from nursing school in 2025
NPI Data:
- NPI Number: 1891668166
- Provider Enumeration Date: 09/24/2025
- Last Update Date: 09/24/2025
Medicare PECOS Information:
- PECOS PAC ID: 2567946130
- Enrollment ID: I20260320003220
Medical Identifiers
Medical identifiers for Samantha Rae Lynn such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1891668166 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 363LF0000X | Nurse Practitioner - Family | 124301 (West Virginia) | Primary |
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
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| Evolutionary Healthcare West Virginia Pllc | 6002390747 | 4 |
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. Samantha Rae Lynn 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 |
|---|
Samantha Rae Lynn, FNP-C
Po Box 423,
Bolt, WV 25817-0423
Ph: () - | Samantha Rae Lynn, FNP-C
Po Box 423,
Bolt, WV 25817-0423
Ph: (304) 673-1986 |
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