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Active NPI 1851065734 Individual Practitioner Female Practitioner

Ailish Samuelson , PMHNP-BC

Nurse Practitioner - Psychiatric/Mental Health • Eagle Bridge, NY

Professional Overview & Biography Verified Profile Summary

Ailish Samuelson, PMHNP-BC is a registered healthcare professional specializing in Nurse Practitioner - Psychiatric/Mental Health in Eagle Bridge, NY. Practice services are available at 18 BROWNSKNOLL LN under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

18 Brownsknoll Ln

Eagle Bridge, NY 120572307

Telephone 5182900554

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner - Psychiatric/Mental Health in Eagle Bridge, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 9.1 Yrs
Regional Practice Density
1 Specialists

Practicing in Eagle Bridge, NY (4165 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
33.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
72 22 $161.00 $106.71
99213 Established patient office or other outpatient visit, typically 15 minutes
55 24 $114.00 $75.51

Medical Specialties & State Licenses

CMS Verified: 2026-04-08
Nurse Practitioner - Psychiatric/Mental Health Primary Specialty

NUCC Taxonomy Code: 363LP0808X

State License NY 403660

Definition to come...

Secondary Practice Locations

5 Main St

Hoosick Falls, NY 120902003

Phone: 5189198932

643 Grooms Rd

Clifton Park, NY 120655912

Phone: 5189193982

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

10 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 08, 2026

Nurse Practitioner (License #403660 in NY)

📍
Updated Practice Location June 15, 2022

Registered at 18 BROWNSKNOLL LN, EAGLE BRIDGE, NY 120572307 (Tel: 5182900554)

📍
Updated Business Mailing Address June 15, 2022

Registered at 18 BROWNSKNOLL LN, EAGLE BRIDGE, NY 120572307 (Tel: 5182900554)

👤
Provider Name / Credentials Updated June 15, 2022

Recorded as AILISH SAMUELSON, PMHNP-BC

NPI Profile Active August 04, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location August 04, 2021

Registered at 865 HIDDEN VALLEY RD, SHAFTSBURY, VT 052629482 (Tel: 8023798579)

📍
Updated Business Mailing Address August 04, 2021

Registered at PO BOX 511, BENNINGTON, VT 052010511 (Tel: 8023798579)

👤
Provider Name / Credentials Updated August 04, 2021

Recorded as AILISH SAMUELSON, PMJNP-BC

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 04, 2021

Nurse Practitioner (License #0 in NY)

🟢
Initial NPI Registration & Enumeration August 04, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1851065734
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 04, 2021
Last Update: April 08, 2026
Sole Proprietor: No

Mailing Address

18 Brownsknoll Ln

Eagle Bridge, NY 120572307

Phone: 5189193982

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.