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

Samara Marie Williamson, AGNP-C

Individual provider Gerontology Nurse Practitioner · NPI 1285389304

Samara Marie Williamson, AGNP-C is a Nurse Practitioner in Chesterfield, Missouri. Qualified in 2021, 5 years ago. Licensed in Missouri.

Years since qualifying
5
Licensed in
MO
In the registry since
2022

Practice location Address checks out

15740 S Outer 40 Rd
Chesterfield, MO 63017-2004
Phone: (636) 237-4700
Show map & directions

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

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 2022005952 (MO)

Record details

NPI number1285389304
Entity typeIndividual (Type 1)
GenderFemale
Credentials AGNP-C
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESFebruary 17, 2022
Certification dateFebruary 8, 2022

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations4 on file with Medicare

Other providers in Chesterfield