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

Samuel Small, FNP

Individual provider Nurse Practitioner · NPI 1851952162

Samuel Small, FNP is a Nurse Practitioner in Flagstaff, Arizona. Qualified in 2019, 7 years ago. Practices with Winslow Indian Health Care Center Inc, a 100-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
7
Licensed in
AZ
In the registry since
2019
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.

See every abbreviation used in this directory →

Practice location Address checks out

1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone: (928) 215-2778
Show map & directions

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

Additional practice locations (1)

  • 350 N Switzer Canyon Dr, Flagstaff, AZ 86001-4826 — (602) 955-1000

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 230937 (AZ)
Nurse Practitioner Taxonomy 363L00000X · Licence F06192632 (AZ)

Record details

NPI number1851952162
Entity typeIndividual (Type 1)
GenderMale
Credentials FNP
Sole proprietorNo
NPI enumeratedJune 26, 2019
Last updated in NPPESMay 29, 2020
Certification dateMay 29, 2020
Mailing address1200 N Beaver St, Flagstaff, AZ 86001-3118

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Winslow Indian Health Care Center Inc — 100 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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