Individual provider Active NPI

Samantha Fisher, MSN, APRN, FNP-C

  • Family Nurse Practitioner
  • Elkhart, IN
National Provider Identifier
1376338020
Registry record updated Jun 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71016773A Issued in IN
Practice address
3221 Magnum Dr
Elkhart, IN 46516-9021
Phone
(574) 218-7631
NPI assigned
Apr 14, 2025
Last updated
Jun 26, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 71016773A IN Primary
Registered Nurse 163W00000X 28181025-C IN
Registered Nurse 163W00000X 4704428398 MI

Addresses

Primary practice location

3221 Magnum Dr
Elkhart, IN 46516-9021

Mailing address

54083 Martinsville CT
Osceola, IN 46561-8734
Phone (574) 229-0278

Other practice location 1

3221 Magnum Dr
Elkhart, IN 46516-9021
Phone (574) 218-7631

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
28181025-CINMDRegistered Nurse
4704428398MIMDRegistered Nurse
71016773AINMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1744588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750896000000",
    "number": "1376338020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54083 MARTINSVILLE CT",
            "city": "OSCEOLA",
            "state": "IN",
            "postal_code": "465618734",
            "telephone_number": "574-229-0278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3221 MAGNUM DR",
            "city": "ELKHART",
            "state": "IN",
            "postal_code": "465169021",
            "telephone_number": "574-218-7631"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3221 Magnum Dr",
            "address_purpose": "LOCATION",
            "city": "Elkhart",
            "state": "IN",
            "postal_code": "465169021",
            "country_code": "US",
            "telephone_number": "574-218-7631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FISHER",
        "first_name": "SAMANTHA",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-14",
        "last_updated": "2025-06-26",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71016773A",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28181025-C",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MI",
            "license": "4704428398",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkhart, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.