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

Samantha Watanapongse Pollock, APRN

Individual provider Gerontology Nurse Practitioner · NPI 1366997306

Samantha Watanapongse Pollock, APRN is a Nurse Practitioner in Saint Louis, Missouri. Qualified in 2016, 10 years ago. Accepts Medicare assignment and offers telehealth. Licensed in Missouri and Oklahoma.

Years since qualifying
10
Licensed in
MO, OK
In the registry since
2016
Specialties on file
2
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

12125 Woodcrest Executive Dr Ste 110
Saint Louis, MO 63141-5009
Phone: (314) 789-2486
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 2020038833 (MO)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 0121921 (OK)

Record details

NPI number1366997306
Entity typeIndividual (Type 1)
GenderFemale
Credentials APRN
Sole proprietorNo
NPI enumeratedAugust 19, 2016
Last updated in NPPESJune 9, 2025
Certification dateJune 9, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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