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

Mr. Samuel Harrison Sackenheim, FNP

Individual provider Family Nurse Practitioner · NPI 1942844527

Mr. Samuel Harrison Sackenheim, FNP is a Nurse Practitioner in Statesville, North Carolina. Qualified in 2019, 7 years ago. Practices with Piedmont Healthcare PA, a 223-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Licensed in
NC
In the registry since
2019
What do these letters mean?
FNP — Family Nurse Practitioner
A nurse practitioner who treats patients of all ages, much like a family doctor.

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Practice location Address checks out

1404 Fern Creek Dr
Statesville, NC 28625-9376
Phone: (704) 978-4025
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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 5012592 (NC)

Record details

NPI number1942844527
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedNovember 6, 2019
Last updated in NPPESAugust 10, 2023
Certification dateAugust 10, 2023

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Piedmont Healthcare Pa — 223 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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