NPIMap

Individual provider Active NPI

Samantha Jo Stevens, CRNA

  • Certified Registered Nurse Anesthetist
  • Bedford, IN
National Provider Identifier
1003206962
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
28185263A Issued in IN
Practice address
2900 16TH St
Bedford, IN 47421-3510
Phone
(812) 276-4378
Fax
(812) 275-1246
NPI assigned
Jan 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 28185263A IN Primary

Addresses

Primary practice location

2900 16TH St
Bedford, IN 47421-3510

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1314 E Walnut St
Washington, IN 47501-2860
Phone (812) 254-2760

Other practice location 2

642 W Hospital Rd
Paoli, IN 47454-9672
Phone (812) 723-7453

Other identifiers 4

IdentifierTypeStateIssuer
940070017OtherINMEDICARE
1102343973OtherINANTHEM PTAN
201339310MedicaidIN
163460043OtherINMEDICARE

Other names 1

  • Samantha Jo Deck Former name

Electronic endpoints 4

TypeEndpointUseAffiliation
Direct Messaging Address samanthastevens@dchpm.allscriptsdirect.net Direct
Direct Messaging Address samanthastevens@dchpm.allscriptsdirect.net
Direct Messaging Address sstevens@direct.iuhealth.org Direct
Direct Messaging Address sstevens@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151028000941 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 3577872860 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greene County General HospitalGroup PAC ID 2961481544, 102 clinicians
Daviess County HospitalGroup PAC ID 1557271665, shared by 34 NPIs, 67 clinicians
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians
Indiana University Health IncGroup PAC ID 2365350675, 56 clinicians
Indiana University Health Bedford IncGroup PAC ID 2668383092, 7 clinicians

Practice addresses (Care Compare)

1185 N 1000
Linton, IN 47441-5282
Phone 81284722812054

1314 E Walnut St
Washington, IN 47501-2860

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2209 John R Wooden Dr
Martinsville, IN 46151-1840
Phone (765) 342-8441

2900 16TH St
Bedford, IN 47421-3510
Phone (812) 275-1200

Hospital & facility affiliations

  • Indiana University Health Bedford Hospital Hospital, Bedford, IN, CCN 151328
  • Indiana University Health Hospital, Indianapolis, IN, CCN 150056
  • Daviess Community Hospital Hospital, Washington, IN, CCN 150061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Paoli Inc CurrentSince Apr 1, 2023 Accepting new patients
Daviess County Hospital Nurse Anesthetist, Certified Registered CurrentSince Jun 1, 2019 Accepting new patients
Daviess County Hospital CurrentSince Sep 26, 2015 Accepting new patients
Indiana University Health Paoli Inc CurrentSince Apr 1, 2023 Accepting new patients
Indiana University Health, Inc CurrentSince Jun 1, 2024 Accepting new patients
Daviess County Hospital Current Accepting new patients
Daviess County Hospital CurrentSince Sep 26, 2015 Accepting new patients
Indiana University Health Bedford, Inc Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2023 Accepting new patients
Iu Health Medical Group, LLC Nurse Anesthetist, Certified Registered CurrentSince Oct 1, 2025 Accepting new patients
Daviess County Hospital Current Accepting new patients

Locations

2242 Reliable Pkwy
Chicago, IL 60686

2699 Solutions Ctr
Chicago, IL 60677

7992 Solution Ctr
Chicago, IL 60677

2900 16th St
Bedford, IN 47421
Phone (812) 275-1200

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

1185 N 1000 W
Linton, IN 47441
Phone (812) 847-2281

2209 John R Wooden Dr
Martinsville, IN 46151
Phone (765) 342-3364

642 W Hospital Rd
Paoli, IN 47454
Phone (812) 723-2811

1314 E Walnut St
Washington, IN 47501
Phone (812) 254-2250

1402 Grand Ave
Washington, IN 47501
Phone (812) 254-2250

Interoperability endpoints

  • Direct secure messaging: sstevens@direct.iuhealth.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1422576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1003206962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 16TH ST",
            "city": "BEDFORD",
            "state": "IN",
            "postal_code": "474213510",
            "telephone_number": "812-276-4378",
            "fax_number": "812-275-1246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1314 E Walnut St",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "IN",
            "postal_code": "475012860",
            "country_code": "US",
            "telephone_number": "812-254-2760",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "642 W Hospital Rd",
            "address_purpose": "LOCATION",
            "city": "Paoli",
            "state": "IN",
            "postal_code": "474549672",
            "country_code": "US",
            "telephone_number": "812-723-7453",
            "fax_number": "812-723-7500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-30",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IN",
            "license": "28185263A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "940070017",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1102343973",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201339310",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "163460043",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samanthastevens@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1314 E Walnut St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "samanthastevens@dchpm.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1314 E Walnut St",
            "city": "Washington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "475012860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstevens@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2900 16th St",
            "city": "Bedford",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474213510",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sstevens@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "642 W Hospital Rd",
            "city": "Paoli",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474549672",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "DECK",
            "middle_name": "JO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bedford, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.