Individual provider Active NPI

Samantha Carpenter, FNP-C

  • Nurse Practitioner
  • Cherokee, IA
National Provider Identifier
1265327829
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
A184757 Issued in IA
Practice address
115 E Maple St
Cherokee, IA 51012-1814
Phone
(712) 225-9003
NPI assigned
Jun 12, 2025
Last updated
Jun 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X A184757 IA Primary

Addresses

Primary practice location

115 E Maple St
Cherokee, IA 51012-1814

Mailing address

502 Lauri LN
Cherokee, IA 51012-1130
Phone (712) 330-4412

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20250826003568 IA Practitioner - Nurse Practitioner 4082114772 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christopher J Vandelune DO PCGroup PAC ID 5799116984, 2 clinicians

Practice addresses (Care Compare)

115 E Maple St
Sioux Valley Family Health
Cherokee, IA 51012-1814
Phone (712) 225-9003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A184757IAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Dec 23, 2025 Accepting new patients
Spencer Municipal Hospital CurrentSince Dec 23, 2025 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Christopher J Vandelune DO PC CurrentSince Jun 24, 2025 Accepting new patients

Locations

115 E Maple St
Cherokee, IA 51012
Phone (712) 225-9003

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDJBD
  • FHIR API: https://fhir4.healow.com/fhir/r4/GJDJBD/Endpoint/GJDJBD

Organizations & group practices 5

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 5

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": "1749686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1265327829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 LAURI LN",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121130",
            "telephone_number": "712-330-4412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E MAPLE ST",
            "city": "CHEROKEE",
            "state": "IA",
            "postal_code": "510121814",
            "telephone_number": "712-225-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARPENTER",
        "first_name": "SAMANTHA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-12",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A184757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherokee, IA

Sources for this page

Verify at the official NPI Registry.