Individual provider Active NPI

Desiree Elizabeth Samples, DNP, RN, FNP-BC

  • Family Nurse Practitioner
  • Valparaiso, IN
National Provider Identifier
1285992297
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71003904A Issued in IN
Practice address
2106 Morthland Dr
Suite 1084
Valparaiso, IN 46383-5914
Phone
(219) 228-1972
Fax
(814) 292-9196
NPI assigned
Apr 26, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 28164959A IN
Nurse Practitioner 363L00000X 0002282 CO
Nurse Practitioner 363L00000X 041581213 IL
Nurse Practitioner 363L00000X 309023320 IL
Family Nurse Practitioner 363LF0000X 71003904A IN Primary
Nurse Practitioner 363L00000X 0004318 CO

Addresses

Primary practice location

2106 Morthland Dr
Suite 1084
Valparaiso, IN 46383-5914

Mailing address

2106 Morthland Dr
Valparaiso, IN 46383-5914
Phone (317) 979-0733

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
I20130521000528 IN Practitioner - Nurse Practitioner 0042458697 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0002282COMDNurse Practitioner
0004318COMDNurse Practitioner
041581213ILMDNurse Practitioner
309023320ILMDNurse Practitioner
28164959AINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Monarch Health & Wellness CurrentSince Apr 1, 2024 Accepting new patients
Weightwise Virtual Clinic, LLC Current Accepting new patients

Locations

503 E Summit St
Ste 3
Crown Point, IN 46307
Phone (219) 240-1582

503 E Summit St
Crown Point, IN 46307
Phone (219) 228-4224

2106 Morthland Dr
Valparaiso, IN 46383
Phone (219) 242-4862

Organizations & group practices 2

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1285992297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 MORTHLAND DR",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835914",
            "telephone_number": "317-979-0733",
            "fax_number": "814-292-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2106 MORTHLAND DR",
            "address_2": "SUITE 1084",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463835914",
            "telephone_number": "219-228-1972",
            "fax_number": "814-292-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPLES",
        "first_name": "DESIREE",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "DNP, RN, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-26",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28164959A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0002282",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "041581213",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "309023320",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71003904A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CO",
            "license": "0004318",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.