Samantha Augusta Farnum, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

CNP4398 Issued in MN

Practice address

1950 Center Creek Dr
Fairmont, MN 56031-3428

Phone

(507) 238-4968

NPI assigned

Feb 17, 2016

Last updated

Feb 17, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cornerstone Clinic, PSCGroup PAC ID 6204288830, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mayo Clinic Health System - Fairmont Hospital, Fairmont, MN, CCN 240166
• United Hospital District Hospital, Blue Earth, MN, CCN 241369

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cornerstoneclinic.samanthafarnum@157537.advancedmd-direct.com

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.

• Cornerstone Clinic , PSC

  • Primary Care Clinic/Center
  • Fairmont, MN
  • NPI 1801575725
  Medicare reassignment Care Compare group NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mayo Clinic Health System-Fairmont

  • General Acute Care Hospital
  • Fairmont, MN
  • NPI 1821066499
  Care Compare affiliation
• United Hospital District Inc.

  • Critical Access Hospital
  • Blue Earth, MN
  • NPI 1952307688
  Care Compare affiliation

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

{
    "created_epoch": "1455667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455667200000",
    "number": "1437518552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 CENTER CREEK DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313428",
            "telephone_number": "507-238-4968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 CENTER CREEK DR",
            "city": "FAIRMONT",
            "state": "MN",
            "postal_code": "560313428",
            "telephone_number": "507-238-4968"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARNUM",
        "first_name": "SAMANTHA",
        "middle_name": "AUGUSTA",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-17",
        "last_updated": "2016-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MN",
            "license": "CNP4398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fairmont Dental Professionals LLC
• Fairmont Family Dentistry, PA
• Fairmont Orthopedics & Sports Medicine P a (Center for Specialty Care)
• Fairmont Orthopedics & Sports Medicine, PA (Center for Specialty Care)
• Fairmont Orthopedics & Sports Medicine, PA (Center for Specialty Care)
• Robert Fernandez, MD
• Five Lakes Dental Studio LLC
• Daniel Jeffrey Fordice, D.M.D.
• Jeffrey Howard Fordice, DDS
• Taylor Forstner, DDS

• Family Nurse Practitioner in Fairmont, MN
• Providers in Fairmont, MN by specialty
• Family Nurse Practitioner in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.