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

Mr. Samuel Archino Jr., FNP-BC

Individual provider Nurse Practitioner · NPI 1649005877

Mr. Samuel Archino Jr., FNP-BC is a Nurse Practitioner in Jacksonville, North Carolina. Qualified in 2024, 2 years ago. Practices with Tarheel Emergency Group, PLLC, a 40-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2024
Specialties on file
2
What do these letters mean?
FNP-BC — Family Nurse Practitioner, Board Certified
A family nurse practitioner certified by the ANCC.

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Practice location Address checks out

317 Western Blvd
Jacksonville, NC 28546-6338
Phone: (910) 577-2345
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3205 Randall Pkwy Ste 105, Wilmington, NC 28403-2565 — (910) 742-9243

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 5020874 (NC)
Emergency Registered Nurse Taxonomy 163WE0003X · Licence 235585 (NC)

Record details

NPI number1649005877
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP-BC
Sole proprietorNo
NPI enumeratedSeptember 6, 2024
Last updated in NPPESApril 17, 2026
Certification dateApril 17, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tarheel Emergency Group, Pllc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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