Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Courtney Tieree Samuels, APRN

Individual provider Family Nurse Practitioner · NPI 1912612763

Courtney Tieree Samuels, APRN is a Nurse Practitioner in Clarksville, Indiana. Qualified in 2022, 4 years ago. Practices with Community Medical Associates Inc, a 1,365-clinician group and accepts Medicare assignment. Licensed in Indiana and Kentucky.

Years since qualifying
4
Licensed in
IN, KY
In the registry since
2023
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

2205 Greentree N
Clarksville, IN 47129-8957
Phone: (812) 218-6560
Fax: (812) 288-2605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 71013451A (IN)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 3018888 (KY)

Record details

NPI number1912612763
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedJanuary 17, 2023
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Community Medical Associates Inc — 1365 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Clarksville