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

Samantha Jolene McRoy

Individual provider Critical Care Medicine Registered Nurse · NPI 1073335378

Samantha Jolene McRoy is a Nurse Practitioner in Mesa, Arizona. Qualified in 2024, 2 years ago. Practices with Banner Physician Specialists Arizona LLC, a 372-clinician group and accepts Medicare assignment. Licensed in Arizona.

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

1400 S Dobson Rd
Mesa, AZ 85202
Phone: (480) 684-7641
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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 316006 (AZ)
Critical Care Medicine Registered Nurse Taxonomy 163WC0200X · Licence RN179720 (AZ)

Record details

NPI number1073335378
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 28, 2024
Last updated in NPPESNovember 1, 2024
Certification dateNovember 1, 2024

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 Banner Physician Specialists Arizona Llc — 372 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mesa