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

Individual provider Registered Nurse · NPI 1861384000

Samuel Terry, RN is a Certified Registered Nurse Anesthetist (CRNA) in Tyler, Texas. Qualified in 2017, 9 years ago. Practices with Mother Frances Hospital Regional Health Care Center, a 121-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
9
Licensed in
TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

800 E Dawson St
Tyler, TX 75701-2036
Phone: (903) 593-8441
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Certified Registered Nurse Anesthetist (primary) Taxonomy 367500000X · Licence 1215951 (TX)
Registered Nurse Taxonomy 163W00000X · Licence 924753 (TX)

Record details

NPI number1861384000
Entity typeIndividual (Type 1)
GenderMale
Credentials RN
Sole proprietorYes
NPI enumeratedJuly 21, 2025
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025
Mailing address800 E Dawson St, Tyler, TX 75701-2036

Medicare enrollment

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

Medicare specialtyCERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Mother Frances Hospital Regional Health Care Center — 121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Tyler