Individual provider Active NPI

Samantha Hockett, FNP

  • Family Nurse Practitioner
  • Indianapolis, IN
National Provider Identifier
1245891860
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71010109A Issued in IN
Practice address
6835 E Southport Rd Ste D
Indianapolis, IN 46237-9714
Phone
(317) 759-1843
NPI assigned
Jun 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71010109A IN Primary

Addresses

Primary practice location

6835 E Southport Rd Ste D
Indianapolis, IN 46237-9714

Mailing address

6835 E Southport Rd Ste D
Indianapolis, IN 46237-9714
Phone (317) 759-1843

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20200909002423 IN Practitioner - Nurse Practitioner 1850719782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dragonfly Primary Care LLCGroup PAC ID 9234535568, 5 clinicians

Practice addresses (Care Compare)

6835 E Southport Rd
Suite D
Indianapolis, IN 46237-9714
Phone (317) 759-1843

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
71010109AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dragonfly Primary Care LLC Family CurrentSince Mar 27, 2023 Accepting new patients
Major Hospital Past Accepting new patients
Extended Care Specialists, Inc PastSince Oct 6, 2024 Accepting new patients

Locations

6835 E Southport Rd
Indianapolis, IN 46237

6835 E Southport Rd
Ste D
Indianapolis, IN 46237
Phone (317) 572-7076

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24338/brand/1/csg/1/fhir/r4
  • Direct secure messaging: samantha.rivera.1@24338.direct.athenahealth.com

Organizations & group practices 3

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

Hospital & facility affiliations 3

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": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1245891860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-759-1843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6835 E SOUTHPORT RD STE D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462379714",
            "telephone_number": "317-759-1843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOCKETT",
        "first_name": "SAMANTHA",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71010109A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.