Active NPI
Samantha Ann Baney, APRN
- Psychiatric/Mental Health Nurse Practitioner
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 277002340
- Practice address
- 2313 N Rockton Ave
Rockford, IL 61103-3618 - Phone
- (815) 964-2200
- Fax
- (815) 965-7722
- NPI assigned
- Aug 6, 2019
- Last updated
- Jan 10, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 209.019754 | IL | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 277002340 | IL | Primary |
Addresses
Primary practice location
2313 N Rockton Ave
Rockford, IL 61103-3618
Mailing address
15355 E Dees Dr
Monroe Center, IL 61052-9747
Phone (815) 543-0545
Other practice location 1
7117 Crimson Ridge Dr Ste 3
Rockford, IL 61107-6213
Phone (815) 316-8700
Other practice location 2
1311 Parkview Ave
Rockford, IL 61107-1899
Phone (815) 399-8832
Other practice location 3
15355 E Dees Dr
Monroe Center, IL 61052-9747
Phone (815) 543-0545
Other practice location 4
6131 Park Ridge Rd
Loves Park, IL 61111-4029
Phone (815) 543-0545
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sabaney@proton.me | Direct | |
| Direct Messaging Address | sbaney@amberwoodcarecentre.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
555 S Perryville Rd
Suite 130
Rockford, IL 61108-2527
Phone (815) 995-2201
8104 Sayer Rd
Rockford, IL 61108-4546
Phone (815) 332-5566
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209.019754 | IL | MD | Family Nurse Practitioner |
| 277002340 | IL | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jet Healthcare LLC | Single Specialty | Current | Accepting new patients |
| Mindplexity Psychiatric Services, PLLC | Single Specialty | Current | Accepting new patients |
Locations
6131 Park Ridge Rd
Loves Park, IL 61111
Phone (815) 543-0545
1311 Parkview Ave
Rockford, IL 61107
Phone (815) 395-8700
2313 N Rockton Ave
Rockford, IL 61103
Phone (815) 964-2200
555 S Perryville Rd
Ste 130
Rockford, IL 61108
Phone (815) 396-8617
8104 Sayer Rd
Rockford, IL 61108
Phone (815) 332-1919
1050 Country Club Rd
Unit 386
Woodstock, IL 60098
Organizations & group practices 2
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.
-
- Psychiatric/Mental Health Nurse Practitioner
- Rockford, IL
- NPI 1437808433
Single Specialty
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Elara Caring IX
- Home Health Agency
- Huntley, IL
- NPI 1205129913
-
- Home Health Agency
- Chicago, IL
- NPI 1689779910
-
- Community Based Hospice Care Agency
- Cherry Valley, IL
- NPI 1205614740
-
dba OSF Saint Anthony Medical Center
- General Acute Care Hospital
- Rockford, IL
- NPI 1790739977
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1565049600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768003200000",
"number": "1679128730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15355 E DEES DR",
"city": "MONROE CENTER",
"state": "IL",
"postal_code": "610529747",
"telephone_number": "815-543-0545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2313 N ROCKTON AVE",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611033618",
"telephone_number": "815-964-2200",
"fax_number": "815-965-7722"
}
],
"practiceLocations": [
{
"address_1": "7117 Crimson Ridge Dr Ste 3",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611076213",
"country_code": "US",
"telephone_number": "815-316-8700",
"fax_number": "310-356-4935",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1311 Parkview Ave",
"address_purpose": "LOCATION",
"city": "Rockford",
"state": "IL",
"postal_code": "611071899",
"country_code": "US",
"telephone_number": "815-399-8832",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15355 E Dees Dr",
"address_purpose": "LOCATION",
"city": "Monroe Center",
"state": "IL",
"postal_code": "610529747",
"country_code": "US",
"telephone_number": "815-543-0545",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6131 Park Ridge Rd",
"address_purpose": "LOCATION",
"city": "Loves Park",
"state": "IL",
"postal_code": "611114029",
"country_code": "US",
"telephone_number": "815-543-0545",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BANEY",
"first_name": "SAMANTHA",
"middle_name": "ANN",
"credential": "APRN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-06",
"last_updated": "2026-01-10",
"certification_date": "2026-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IL",
"license": "209.019754",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "IL",
"license": "277002340",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sabaney@proton.me",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "7117 Crimson Ridge Dr Ste 3",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611076213",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sbaney@amberwoodcarecentre.com",
"affiliation": "N",
"endpointDescription": "Work secured E-mail",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2313 N Rockton Ave",
"city": "Rockford",
"state": "IL",
"country_code": "US",
"postal_code": "611033618",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2026; 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.