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

Mr. Samuel Raney

Individual provider Acute Care Nurse Practitioner · NPI 1023424413

Mr. Samuel Raney is a Nurse Practitioner in Little Rock, Arkansas. Qualified in 2014, 12 years ago. Practices with Premier Gastroenterology Associates PLLC, a 28-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
12
Licensed in
AR
In the registry since
2014
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Practice location Address checks out

10915 N Rodney Parham Rd
Little Rock, AR 72212-4114
Phone: (501) 747-2828
Fax: (501) 214-7497
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence A004122 (AR)

Record details

NPI number1023424413
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 7, 2014
Last updated in NPPESJuly 30, 2024
Certification dateJuly 30, 2024

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Premier Gastroenterology Associates Pllc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Little Rock