Samuel Van Rensburg, PMHNP-BC
NPI 1063067346 · Psychiatric/Mental Health Nurse Practitioner · Woonsocket, RI
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Samuel Van Rensburg, PMHNP-BC is a Psychiatric/Mental Health Nurse Practitioner provider in Woonsocket, RI (NPI 1063067346).
Provider details
- NPI number
- 1063067346
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PMHNP-BC
- Sex
- Male
- Sole proprietor
- No
- License
- 11839389-4405 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 1 River StWakefield, RI 02879-3214Phone: (401) 767-4100
- 186 Providence StWest Warwick, RI 02893-2508Phone: (401) 767-4100
Registry dates
- Enumerated
- 2019-08-05
- Last updated
- 2025-08-22
- Certified
- 2025-08-22
Frequently asked questions
- What is Samuel Van Rensburg's NPI number?
- Samuel Van Rensburg's National Provider Identifier (NPI) is 1063067346, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Samuel Van Rensburg's specialty?
- Samuel Van Rensburg is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Samuel Van Rensburg located?
- Samuel Van Rensburg's practice location on file with NPPES is 450 Clinton St, Woonsocket, RI 02895-3207.
- What is Samuel Van Rensburg's phone number?
- The practice phone number listed in the NPPES registry for Samuel Van Rensburg is (619) 606-3295.
- Does Samuel Van Rensburg accept Medicare?
- Samuel Van Rensburg is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Samuel Van Rensburg's NPI active?
- Yes — Samuel Van Rensburg's NPI (1063067346) is active in the NPPES registry as of the last update on 2025-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.