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

Sam Samuelson

Individual provider Nurse Practitioner · NPI 1851113054

Sam Samuelson is a Nurse Practitioner in New Haven, Connecticut. Qualified in 2024, 2 years ago. Practices with Yale University, a 2,618-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Connecticut.

Years since qualifying
2
Licensed in
CT
In the registry since
2024
Specialties on file
2
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Practice location Address checks out

20 York St
New Haven, CT 06510-3220
Phone: (203) 688-4242
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 14063 (CT)
Nurse Practitioner Taxonomy 363L00000X · Licence 14063 (CT)

Record details

NPI number1851113054
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 29, 2024
Last updated in NPPESMarch 26, 2025
Certification dateMarch 26, 2025
Mailing address20 York St, New Haven, CT 06510-3220

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 Yale University — 2618 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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