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

Mr. Samuel Russell Barnard III, AGACNP

Individual provider Acute Care Nurse Practitioner · NPI 1508588823

Mr. Samuel Russell Barnard III, AGACNP is a Nurse Practitioner in South Weymouth, Massachusetts. Qualified in 2022, 4 years ago. Practices with Jordan Physician Associates Inc, a 166-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
4
Licensed in
MA
In the registry since
2022

Practice location Address checks out

55 Fogg Rd
South Weymouth, MA 02190-2432
Phone: (781) 624-8000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence RN2335031 (MA)

Record details

NPI number1508588823
Entity typeIndividual (Type 1)
GenderMale
Credentials AGACNP
Sole proprietorNo
NPI enumeratedSeptember 13, 2022
Last updated in NPPESSeptember 13, 2022
Certification dateSeptember 13, 2022

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 Jordan Physician Associates Inc — 166 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in South Weymouth