Samantha J Spellmeyer, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

71008675A Issued in IN

Practice address

800 W 9TH St
Jasper, IN 47546-2514

Phone

(812) 996-2345

NPI assigned

Jan 15, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sspellmeyer1044975@direct.deaconess.com

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.

• Deaconess Memorial Medical Center Inc

  • Emergency Medicine Physician
  • Huntingburg, IN
  • NPI 1114120128
  Medicare reassignment Care Compare group NPD
• Deaconess Memorial Medical Center Inc

  • Pain Medicine Physician
  • Jasper, IN
  • NPI 1457164543
  NPD
• Deaconess Memorial Medical Center Inc

  • Hospitalist Physician
  • Jasper, IN
  • NPI 1588778518
  NPD

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

• Deaconess Memorial Medical Center, Inc.

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947
  Care Compare affiliation

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

{
    "created_epoch": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547510400000",
    "number": "1194299958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462514",
            "telephone_number": "812-996-8478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 W 9TH ST",
            "city": "JASPER",
            "state": "IN",
            "postal_code": "475462514",
            "telephone_number": "812-996-2345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPELLMEYER",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2019-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71008675A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Adam Glen Songer, MD
• Southern Hills Counseling Center, Inc.
• Southern Indiana Eye Associates LLC
• Elijah Sowry, LCSW
• Mariah Spayd
• Daniel Vincent Spurlock
• Christine Bayt Stairs, MD
• Brett Steele
• Blaine Brock Steimel, PT
• Jennifer Lynn Stemle, OTR/L

• Family Nurse Practitioner in Jasper, IN
• Providers in Jasper, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.