Nellie Idara Samuel, MSN, APRN,PMHNP-BC - Medicare Nurse Practitioner 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 NameNellie Idara Samuel
GenderFemale
SpecialityNurse Practitioner
Experience9 Years
Location2400 Northside Xing, Macon, Georgia
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:
  • 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.
IdentifierTypeStateIssuer
1821344557NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WP0807XRegistered Nurse - Psychiatric/mental Health, Child & Adolescent RN225022 (Georgia)Secondary
163WP0808XRegistered Nurse - Psychiatric/mental Health RN225022 (Georgia)Secondary
163WP0809XRegistered Nurse - Psychiatric/mental Health, Adult RN225022 (Georgia)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health AP10318 (Arizona)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health 95014791 (California)Secondary
363LP0808XNurse Practitioner - Psychiatric/mental Health RN225022 (Georgia)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Northlight Counseling Associates Inc30725906033

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 NameJewish Family & Childrens Service
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1023174455
PECOS PAC ID: 9234028671
Enrollment ID: O20040312001009
Entity NameNorthlight Counseling Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI 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 AddressPractice 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    

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.