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

Sunil Sam, PMHNP

Individual provider Psychiatric/Mental Health Nurse Practitioner · NPI 1366934176

Sunil Sam, PMHNP is a Nurse Practitioner in Festus, Missouri. Qualified in 2017, 9 years ago. Practices with Mercy Clinic Adult Hospitalists Jefferson LLC, a 58-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Illinois and Missouri.

Years since qualifying
9
Licensed in
IL, MO
In the registry since
2018
Specialties on file
2
What do these letters mean?
PMHNP — Psychiatric-Mental Health Nurse Practitioner
A nurse practitioner specialising in mental health, able to prescribe psychiatric medication.

See every abbreviation used in this directory →

Practice location Address checks out

1400 US Highway 61
Festus, MO 63028-4100
Phone: (314) 251-6663
Show map & directions

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

Additional practice locations (3)

  • 10018 Kennerly Rd, Saint Louis, MO 63128-2106 — (314) 251-6663
  • 615 S New Ballas Rd, Saint Louis, MO 63141-8221 — (314) 251-6663
  • 851 E 5th St Ste 154, Washington, MO 63090-3136 — (314) 251-6663

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 2025009021 (MO)
Psychiatric/Mental Health Nurse Practitioner Taxonomy 363LP0808X · Licence 2017037640 (IL)

Record details

NPI number1366934176
Entity typeIndividual (Type 1)
GenderMale
Credentials PMHNP
Sole proprietorNo
NPI enumeratedJune 6, 2018
Last updated in NPPESApril 25, 2025
Certification dateApril 25, 2025
Mailing address136 S Windham Ln, Bloomingdale, IL 60108-2536

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 Mercy Clinic Adult Hospitalists Jefferson Llc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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