Individual provider

Inemesit Sampson, NP

Psychiatric/Mental Health Nurse Practitioner Case Manager/Care Coordinator Nurse Practitioner Medicare enrolled

Inemesit Sampson, NP is a Psychiatric/Mental Health Nurse Practitioner in Fort Worth, TX, registered under NPI 1619353703. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 601 W TERRELL AVE, Fort Worth, TX 76104. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

601 W TERRELL AVE, Fort Worth, TX 76104 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
AP128398 TX Psychiatric/Mental Health Nurse… primary
AP128398 TX Nurse Practitioner
AP128398 TX Family Nurse Practitioner

This provider holds licence AP128398 issued in TX. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Nurse Practitioner
PAC ID
7416267349

Enrolled in Medicare 6 times, across 6 states:

StateEnrollment IDProvider type
Texas I20151105001057 Practitioner - Nurse Practitioner
Oregon I20250124002091 Practitioner - Nurse Practitioner
District of Columbia I20250131000179 Practitioner - Nurse Practitioner
Washington I20250424001362 Practitioner - Nurse Practitioner
Arizona I20250708003959 Practitioner - Nurse Practitioner
New Mexico I20251030003714 Practitioner - Nurse Practitioner

Medicare enrolment is recorded as approved under the provider type Practitioner - Nurse Practitioner. There are 6 separate enrolment records across 6 states (TX, OR, DC, WA, AZ, NM). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Psychiatric/Mental Health covers

Definition to come... NUCC Health Care Provider Taxonomy, code 363LP0808X
Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Psychiatric/Mental Health

All registered taxonomy codes

This provider registers 4 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
363LP0808X Psychiatric/Mental Health Nurse Practitioner Psychiatric/Mental Health AP128398 TX primary
171M00000X Case Manager/Care Coordinator
363L00000X Nurse Practitioner AP128398 TX
363LF0000X Family Nurse Practitioner Family AP128398 TX

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1619353703 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateJul 30, 2015
Last updatedOct 18, 2024
StatusActive
Sole proprietorNo
CredentialNP
Practice address 601 W TERRELL AVE
Fort Worth, TX 76104
(817) 702-3100
Mailing address PO BOX 732973
Dallas, TX 75373
This record was updated on Oct 18, 2024, which is recent enough that the contact details are likely still accurate.

Number check

1619353703 passes the NPI check digit test The final digit 3 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 6 1 9 3 5 3 7 0
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 6 2 9 6 5 6 7 0

Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1619353703?
NPI 1619353703 is the National Provider Identifier assigned to Inemesit Sampson, NP in Fort Worth, TX. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Psychiatric/Mental Health cover?
Definition to come...
How do I contact Inemesit Sampson, NP?
The phone number on file with NPPES is (817) 702-3100, last updated Oct 18, 2024. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Inemesit Sampson, NP accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1619353703 a valid number?
Yes. 1619353703 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.