Samantha Renee Fraley, in Grundy, VA - Medicare Nurse Practitioner

Samantha Renee Fraley, is a medicare enrolled "Nurse Practitioner - Family" in Grundy, Virginia. She graduated from nursing school in 2024 and has 2 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Appalachian Family Care, Llc and her current practice location is 21956 Riverside Dr Ste 7, Grundy, Virginia. You can reach out to her office (for appointments etc.) via phone at (276) 285-8764.

Samantha Renee Fraley is licensed to practice in Virginia (license number 0024192519) 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 1154133676.

Contact Information

	Samantha Renee Fraley,
	21956 Riverside Dr Ste 7, Grundy, VA 24614-9400
	(276) 285-8764
	(276) 312-8008

Map and Direction

Provider's Profile

Full Name	Samantha Renee Fraley
Gender	Female
Speciality	Nurse Practitioner
Experience	2 Years
Location	21956 Riverside Dr Ste 7, Grundy, Virginia
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:

Samantha Renee Fraley graduated from nursing school in 2024

NPI Data:

NPI Number: 1154133676
Provider Enumeration Date: 01/22/2025
Last Update Date: 01/22/2026

Medicare PECOS Information:

PECOS PAC ID: 1052833704
Enrollment ID: I20250321002846

Medical Identifiers

Medical identifiers for Samantha Renee Fraley such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1154133676	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	0024192519 (Virginia)	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Appalachian Family Care, Llc	9931206232	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. Samantha Renee Fraley allows following entities to bill medicare on her behalf.

Entity Name	Appalachian Family Care, Llc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1053336636 PECOS PAC ID: 9931206232 Enrollment ID: O20070522000190

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 Renee Fraley 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 Renee Fraley, Po Box 144, Big Rock, VA 24603-0144 Ph: (423) 754-7768	Samantha Renee Fraley, 21956 Riverside Dr Ste 7, Grundy, VA 24614-9400 Ph: (276) 285-8764

Reviews and Comments

Nurse Practitioner Nurses in Grundy, VA

Angela Horn, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: Po Box 2513, Grundy, VA 24614 Phone: 276-971-9283
Marsha Danette Whited, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1051 Rosebud Rd, Grundy, VA 24614 Phone: 276-935-4591
Jenny Cole, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1520 Slate Creek Rd, Grundy, VA 24614 Phone: 276-242-2001
Tammy Hurley, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2484 Convict Hollow Rd, Grundy, VA 24614 Phone: 276-312-3980
Freda Y Powers, FNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 1532 Slate Creek Rd, Ste 106, Grundy, VA 24614 Phone: 276-935-1760 Fax: 276-935-1762
Mrs. Laura Catherine Potter, DNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 19847 Riverside Dr, Grundy, VA 24614 Phone: 276-248-0800 Fax: 276-248-0814

Samantha Renee Fraley, - Medicare Nurse Practitioner in Grundy, VA