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

Samantha Renee Fraley

Individual provider Family Nurse Practitioner · NPI 1154133676

Samantha Renee Fraley is a Nurse Practitioner in Grundy, Virginia. Qualified in 2024, 2 years ago. Practices with Appalachian Family Care, LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2025

Practice location Address checks out

21956 Riverside Dr Ste 7
Grundy, VA 24614-9400
Phone: (276) 285-8764
Fax: (276) 312-8008
Show map & directions

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

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 0024192519 (VA)

Record details

NPI number1154133676
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 22, 2025
Last updated in NPPESJanuary 22, 2026
Certification dateJanuary 22, 2026

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 Appalachian Family Care, Llc — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Grundy