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

Mr. Sam Hawkins Jr.

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1912695487

Mr. Sam Hawkins Jr. is a Nurse Practitioner in Las Vegas, Nevada. Qualified in 2022, 4 years ago. Practices with Changing Minds Psychiatry LLC, a 50-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Nevada.

Years since qualifying
4
Licensed in
NV
In the registry since
2023
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Practice location Address checks out

911 N Buffalo Dr Unit 206
Las Vegas, NV 89128-0381
Phone: (702) 704-8685
Fax: (702) 405-6066
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 863551 (NV)

Record details

NPI number1912695487
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 24, 2023
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 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 Changing Minds Psychiatry Llc — 50 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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