Healthcare Provider Details

I. General information

NPI: 1154908002
Provider Name (Legal Business Name): SAMANTHA SCHELL PMHMP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

206 CLAYTON ST
BRUSH CO
80723-2104
US

IV. Provider business mailing address

PO BOX 1147
STERLING CO
80751-1147
US

V. Phone/Fax

Practice location:
  • Phone: 720-734-2867
  • Fax:
Mailing address:
  • Phone: 719-214-7149
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPN.1002037-NP
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: