Mrs. Samantha Yates Nuckols, PA-C
Mrs. Samantha Yates Nuckols, PA-C is a Physician Assistant in Creve Coeur, Missouri. Graduated from Mercer University School of Medicine in 2014, 12 years ago. Practices with Mercy East Ambulatory Services LLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Virginia.
- Years since qualifying
- 12
- Trained at
- Mercer University School of Medicine
- Licensed in
- MO, VA
- In the registry since
- 2014
- Specialties on file
- 3
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
11445 Olive BlvdCreve Coeur, MO 63141-7108
Phone: (314) 428-9543
Fax: (314) 428-9542
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Additional practice locations (1)
- 115 Jameson Way, Seven Fields, PA 16046-4325 — (757) 406-9172
Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X · Licence 2017044296 (MO) |
|---|---|
| Physician Assistant | Taxonomy 363A00000X · Licence 0110-004588 (VA) |
| Physician Assistant | Taxonomy 363A00000X |
Record details
| NPI number | 1316353121 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | July 2, 2014 |
| Last updated in NPPES | September 24, 2019 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | MERCER UNIVERSITY SCHOOL OF MEDICINE |
| Graduated | 2014 (12 years in practice) |
| Group practice | Mercy East Ambulatory Services Llc — 103 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Practice locations | 3 on file with Medicare |
Other providers in Creve Coeur
-
Robert Francis Kelly, PA-C
633 Emerson Rd Ste 20, Creve Coeur, MO 63141-6739 · (314) 325-3068
-
Corey Martin
11330 Olive Blvd Ste 150, Creve Coeur, MO 63141-7149 · (314) 336-2566
-
Mr. Allen E Mathieu, PAC, ATC, MS
845 N New Ballas CT STE130, Creve Coeur, MO 63141-9510 · (314) 997-1777
-
Mrs. Lori Lee McLeod, PA-C
11700 Studt Ave, Creve Coeur, MO 63141-7480 · (314) 989-9199
-
MS. Geraldine Prophete, PA
11445 Olive Blvd, Creve Coeur, MO 63141-7108 · (314) 428-9543
-
Amy Michelle Rose, PA-C
633 Emerson Rd Ste 10, Creve Coeur, MO 63141-6739 · (314) 991-2150
-
Mr. Luke Andrew Shoulders, PA-C
11445 Olive Blvd, Creve Coeur, MO 63141-7108 · (314) 428-9543