Individual provider Active NPI

Samantha Lynn Jester, CNM

  • Advanced Practice Midwife
  • Elkhart, IN
National Provider Identifier
1275041865
Registry record updated May 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
09000306A Issued in IN
Practice address
1215 Lawn Ave Ste 100
Elkhart, IN 46514-2450
Phone
(574) 293-2893
NPI assigned
Jan 17, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X 09000306A IN Primary

Addresses

Primary practice location

1215 Lawn Ave Ste 100
Elkhart, IN 46514-2450

Mailing address

3245 Health Drive
Suite 100
Granger, IN 46530-3245
Phone (574) 647-1840

Other practice location 1

420 W 4th St
Mishawaka, IN 46544-1948
Phone (574) 307-7673

Other practice location 2

2222 Rieth Blvd
Suite 104
Goshen, IN 46526-5869
Phone (574) 875-1082

Other practice location 3

2405 W Lexington Ave
Elkhart, IN 46514-1417
Phone (574) 524-7575

Other practice location 4

1215 Lawn Ave Ste 110
Elkhart, IN 46514-2493
Phone (574) 524-7570

Other practice location 5

1545 Cassopolis St
Elkhart, IN 46514-3128
Phone (574) 584-7373

Other identifiers 1

IdentifierTypeStateIssuer
300010291MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sjester@mybeacon.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180215002096 IN Practitioner - Nurse Practitioner 0749540565 Reassigns benefits to 1 organization
I20180427000393 IN Practitioner - Certified Nurse Midwife (CNM) 0749540565 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beacon Medical Group Inc 575 clinicians

Practice addresses (Care Compare)

1215 Lawn Ave
Suite 100
Elkhart, IN 46514-2450
Phone (574) 293-2893

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Healthlinc, Inc. CurrentSince Feb 8, 2018 Accepting new patients
Healthlinc, Inc CurrentSince Feb 8, 2018 Accepting new patients
Beacon Medical Group Inc CurrentSince Dec 15, 2019 Accepting new patients
Heart City Health Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Beacon Medical Group, Inc. Advanced Practice Midwife CurrentSince Dec 15, 2019 Accepting new patients
Beacon Medical Group, Inc. Current Accepting new patients
Heart City Health Center, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Heart City Health Center Pharmacy Past Accepting new patients
Beacon Medical Group, Inc. Past Accepting new patients

Locations

1215 Lawn Ave
Ste 110
Elkhart, IN 46514
Phone (574) 524-7570

236 Simpson Ave
Elkhart, IN 46516
Phone (574) 293-0052

2405 W Lexington Ave
Elkhart, IN 46514
Phone (574) 295-8805

1545 Cassopolis St
Elkhart, IN 46514
Phone (574) 584-2501

148 W Hively Ave
Ste 1
Elkhart, IN 46517
Phone (574) 350-2500

1215 Lawn Ave
Ste 100
Elkhart, IN 46514
Phone (574) 293-2893

2222 Rieth Blvd
Ste 104
Goshen, IN 46526
Phone (574) 875-1082

6913 N Main St
Granger, IN 46530
Phone (574) 647-1500

3245 Health Dr
Ste 100
Granger, IN 46530
Phone (574) 647-2129

420 W 4th St
Mishawaka, IN 46544
Phone (574) 252-0300

420 W 4th St
Ste 100
Mishawaka, IN 46544
Phone (574) 252-0300

710 N Niles Ave
South Bend, IN 46617
Phone (574) 647-1610

1001 Sturdy Rd
Valparaiso, IN 46383
Phone (219) 462-7173

2401 Valley Dr
Valparaiso, IN 46383
Phone (219) 413-5100

Interoperability endpoints

  • Direct secure messaging: samantha.jester.1@11397.direct.athenahealth.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1516147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747008000000",
    "number": "1275041865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3245 HEALTH DRIVE",
            "address_2": "SUITE 100",
            "city": "GRANGER",
            "state": "IN",
            "postal_code": "465303245",
            "telephone_number": "574-647-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAWN AVE STE 100",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465142450",
            "telephone_number": "574-293-2893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 W 4th St",
            "address_purpose": "LOCATION",
            "city": "Mishawaka",
            "state": "IN",
            "postal_code": "465441948",
            "country_code": "US",
            "telephone_number": "574-307-7673",
            "fax_number": "574-307-7692",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2222 Rieth Blvd",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Goshen",
            "state": "IN",
            "postal_code": "465265869",
            "country_code": "US",
            "telephone_number": "574-875-1082",
            "fax_number": "574-875-3860",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2405 W Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465141417",
            "country_code": "US",
            "telephone_number": "574-524-7575",
            "fax_number": "574-524-7576",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1215 Lawn Ave Ste 110",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465142493",
            "country_code": "US",
            "telephone_number": "574-524-7570",
            "fax_number": "574-524-7571",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1545 Cassopolis St",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465143128",
            "country_code": "US",
            "telephone_number": "574-584-7373",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JESTER",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-17",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "IN",
            "license": "09000306A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300010291",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sjester@mybeacon.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1215 Lawn Ave Ste 100",
            "city": "Elkhart",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465142450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

Verify at the official NPI Registry.