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

Samantha Ann Stevens, FNP

Individual provider Family Nurse Practitioner · NPI 1700597002

Samantha Ann Stevens, FNP is a Nurse Practitioner in O Fallon, Missouri. Qualified in 2022, 4 years ago. Practices with Physician Groups Lc, a 524-clinician group and accepts Medicare assignment. Licensed in Missouri.

Years since qualifying
4
Licensed in
MO
In the registry since
2022
Specialties on file
2
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

9323 Phoenix Village Pkwy
O Fallon, MO 63368-4281
Phone: (636) 561-0871
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 2022045059 (MO)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 2022045059 (MO)

Record details

NPI number1700597002
Entity typeIndividual (Type 1)
GenderFemale
Credentials FNP
Sole proprietorNo
NPI enumeratedDecember 7, 2022
Last updated in NPPESOctober 31, 2023
Certification dateOctober 31, 2023

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 Physician Groups Lc — 524 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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