Individual provider Active NPI

Samantha Lewis Rausch, NP

  • Family Nurse Practitioner
  • Greenfield, IN
National Provider Identifier
1649755539
Registry record updated Sep 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F05180287 Issued in IN
Practice address
3799 N 50 E
Greenfield, IN 46140-8626
Phone
(765) 617-5959
NPI assigned
Sep 26, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F05180287 IN Primary

Addresses

Primary practice location

3799 N 50 E
Greenfield, IN 46140-8626

Mailing address

3799 N 50 E
Greenfield, IN 46140-8626
Phone (765) 617-5959

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
I20181022000966 IN Practitioner - Nurse Practitioner 1557614575 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
F05180287INMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hancock Physician Network, LLC CurrentSince May 1, 2019 Accepting new patients
FC Indiana, LLC CurrentSince Sep 28, 2018 Accepting new patients
Hancock Health Gateway Services Inc CurrentSince Sep 9, 2019 Accepting new patients
FC Indiana, LLC CurrentSince Sep 28, 2018 Accepting new patients
Hancock Health Gateway Services, Inc. Family CurrentSince Sep 9, 2019 Accepting new patients
Daniel B Grossman M D Inc PastSince Jun 21, 2022 Accepting new patients

Locations

2418 16th St
Bedford, IN 47421
Phone (812) 278-3154

801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727

6189 W John L Modglin Dr
Ste 101
Greenfield, IN 46140
Phone (317) 866-7300

Organizations & group practices 6

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": "1537920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537920000000",
    "number": "1649755539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3799 N 50 E",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408626",
            "telephone_number": "765-617-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3799 N 50 E",
            "city": "GREENFIELD",
            "state": "IN",
            "postal_code": "461408626",
            "telephone_number": "765-617-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAUSCH",
        "first_name": "SAMANTHA",
        "middle_name": "LEWIS",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-26",
        "last_updated": "2018-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "F05180287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenfield, IN

Sources for this page

Verify at the official NPI Registry.