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

Stacey M Sams, CNP

Individual provider Nurse Practitioner · NPI 1619459641

Stacey M Sams, CNP is a Nurse Practitioner in Logan, Ohio. Qualified in 2017, 9 years ago. Practices with Marietta Memorial Hospital, a 386-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
9
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

751 State Route 664 N Unit A
Logan, OH 43138-9250
Phone: (740) 385-9646
Fax: (740) 385-0630
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 APRN.CNP.023605 (OH)
Nurse Practitioner Taxonomy 363L00000X · Licence APRN.CNP.023605 (OH)

Record details

NPI number1619459641
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedSeptember 6, 2018
Last updated in NPPESDecember 11, 2025
Certification dateDecember 11, 2025

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Marietta Memorial Hospital — 386 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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