Active NPI
Samantha Marie Loel, APRN, CNP
- Family Nurse Practitioner
- Vandalia, OH
National Provider Identifier
1477045896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.022799
- Practice address
- 810 Falls Creek Dr Ste B
Vandalia, OH 45377 - Phone
- (937) 454-0317
- NPI assigned
- Jun 1, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.022799 | OH | Primary |
Addresses
Primary practice location
810 Falls Creek Dr Ste B
Vandalia, OH 45377
Mailing address
3170 Kettering Blvd BLDG B3
Moraine, OH 45439-1924
Phone (937) 991-3186
Other practice location 1
1 W National Rd
Vandalia, OH 45377-1932
Phone (937) 208-7776
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180823003521 | OH | Practitioner - Nurse Practitioner | 9931458908 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APRN.CNP.022799 | OH | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Family Care Inc | Family Medicine | Current | Accepting new patients |
| Samaritan Family Care Inc | Current | Accepting new patients | |
| Samaritan Family Care, Inc. | Family Medicine | Past | Accepting new patients |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
1530 Needmore Rd
Ste 200
Dayton, OH 45414
Phone (937) 278-5854
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
810 Falls Creek Dr
#B
Vandalia, OH 45377
Phone (937) 298-2584
1 W National Rd
Vandalia, OH 45377
Phone (937) 208-7776
600 Aviator Ct
Ste 100
Vandalia, OH 45377
Phone (937) 208-7776
Organizations & group practices 4
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.
-
- Hospitalist Physician
- Dayton, OH
- NPI 1558316638
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Moraine, OH
- NPI 1235127838
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Wright State University Boonshoft School of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Family Care Inc
Practice addresses (Care Compare)
810 Falls Creek Dr B
Vandalia, OH 45377-8600
Phone (937) 454-0317
Hospital & facility affiliations
- Fidelity Health Care
- Miami Valley Hospital
- Upper Valley Medical Center
- Kettering Health Dayton
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571270400000",
"number": "1477045896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3170 KETTERING BLVD BLDG B3",
"city": "MORAINE",
"state": "OH",
"postal_code": "454391924",
"telephone_number": "937-991-3186",
"fax_number": "937-223-9811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "810 FALLS CREEK DR STE B",
"city": "VANDALIA",
"state": "OH",
"postal_code": "45377",
"telephone_number": "937-454-0317"
}
],
"practiceLocations": [
{
"address_1": "1 W National Rd",
"address_purpose": "LOCATION",
"city": "Vandalia",
"state": "OH",
"postal_code": "453771932",
"country_code": "US",
"telephone_number": "937-208-7776",
"fax_number": "937-208-7751",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LOEL",
"first_name": "SAMANTHA",
"middle_name": "MARIE",
"credential": "APRN, CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-01",
"last_updated": "2019-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.022799",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vandalia, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2019; 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.