Individual provider Active NPI

Kelsey Sammet

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1306518634
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71011594A Issued in IN
Practice address
4199 Gateway Blvd Ste 3500
Newburgh, IN 47630-7909
Phone
(812) 858-5950
Fax
(812) 858-5955
NPI assigned
Oct 5, 2021
Last updated
Nov 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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 71011594A IN Primary

Addresses

Primary practice location

4199 Gateway Blvd Ste 3500
Newburgh, IN 47630-7909

Mailing address

4199 Gateway Blvd Ste 3500
Newburgh, IN 47630-7909
Phone (812) 858-5950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, KY2 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
I20211014000850 IN Practitioner - Nurse Practitioner 1557769056 Reassigns benefits to 2 organizations
I20211228001413 KY Practitioner - Nurse Practitioner 1557769056 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4199 Gateway Blvd
Suite 3500
Newburgh, IN 47630-7909
Phone (812) 858-5950

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Deaconess Women's Hospital of Southern Indiana, LLC Nurse Practitioner CurrentSince Sep 1, 2023 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Oct 29, 2021 Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner Current Accepting new patients
Deaconess Women's Hospital of Southern Indiana, LLC Current Accepting new patients
Deaconess Specialty Physicians, Inc Nurse Practitioner CurrentSince Sep 28, 2021 Accepting new patients
Deaconess Women's Hospital of Southern Indiana, LLC CurrentSince Sep 1, 2023 Accepting new patients
Deaconess Specialty Physicians Inc Nurse Practitioner CurrentSince Sep 28, 2021 Accepting new patients
The Women's Hospital Past Accepting new patients

Locations

350 W Columbia St
Ste 310
Evansville, IN 47710
Phone (812) 425-2646

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4007 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 842-0907

4199 Gateway Blvd
Newburgh, IN 47630
Phone (812) 842-4200

4199 Gateway Blvd
Ste 3500
Newburgh, IN 47630
Phone (812) 853-2600

4209 Gateway Blvd
Newburgh, IN 47630
Phone (812) 426-9855

2200 E Parrish Ave
Owensboro, KY 42303
Phone (270) 691-0059

2200 E Parrish Ave
Bldg A
Owensboro, KY 42303
Phone (270) 228-2811

Organizations & group practices 8

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 4

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": "1633392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1306518634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 3500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307909",
            "telephone_number": "812-858-5950",
            "fax_number": "812-858-5955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4199 GATEWAY BLVD STE 3500",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476307909",
            "telephone_number": "812-858-5950",
            "fax_number": "812-858-5955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMMET",
        "first_name": "KELSEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-05",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71011594A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.