Dr. Stephanie Michelle Sampson, DNP, APRN, FNP-C
Nurse Practitioner, Family in Logan, UT. Individual provider (NPI-1).
NPI number1215596192
StatusActive
Last updated in NPPESDec 11, 2024
Details
- NPI
- 1215596192
- Entity type
- Individual (NPI-1)
- Name
- Dr. Stephanie Michelle Sampson
- Credential
- DNP, APRN, FNP-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 13, 2019
- Certification date
- Dec 11, 2024
- Last updated
- Dec 11, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 7734927-4405 | UT | Yes |
Practice location
682 S Main St Ste 150Logan, UT 84321-6568
Phone 435-990-4282 · Fax 435-355-3718
Mailing address
Po Box 245Logan, UT 84323-0245
Phone 435-990-4282 · Fax 435-355-3718
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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