Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mrs. Samantha Yates Nuckols, PA-C

Individual provider Physician Assistant · NPI 1316353121

Mrs. Samantha Yates Nuckols, PA-C is a Physician Assistant in Creve Coeur, Missouri. Graduated from Mercer University School of Medicine in 2014, 12 years ago. Practices with Mercy East Ambulatory Services LLC, a 103-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Missouri and Virginia.

Years since qualifying
12
Trained at
Mercer University School of Medicine
Licensed in
MO, VA
In the registry since
2014
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

11445 Olive Blvd
Creve Coeur, MO 63141-7108
Phone: (314) 428-9543
Fax: (314) 428-9542
Show map & directions

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

Additional practice locations (1)

  • 115 Jameson Way, Seven Fields, PA 16046-4325 — (757) 406-9172

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 2017044296 (MO)
Physician Assistant Taxonomy 363A00000X · Licence 0110-004588 (VA)
Physician Assistant Taxonomy 363A00000X

Record details

NPI number1316353121
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJuly 2, 2014
Last updated in NPPESSeptember 24, 2019

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMERCER UNIVERSITY SCHOOL OF MEDICINE
Graduated 2014 (12 years in practice)
Group practice Mercy East Ambulatory Services Llc — 103 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients374
Services billed 808 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Mercy East Ambulatory Services LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 103 clinicians in the practice; 12 are shown here.

Other providers in Creve Coeur