Individual provider Active NPI

Samantha Ann Baney, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Rockford, IL
National Provider Identifier
1679128730
Registry record updated Jan 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
277002340 Issued in IL
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190828001627 IL Practitioner - Nurse Practitioner 3971831983 Reassigns benefits to 2 organizations
Practice locations: Loves Park, IL; Rockford, IL

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
Mindplexity Psychiatric Services PLLCGroup PAC ID 9032596788, 7 clinicians
Jet Healthcare LLCGroup PAC ID 1456781889, 20 clinicians

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

LicenseStateTypeSpecialty
209.019754ILMDFamily Nurse Practitioner
277002340ILMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Jet Healthcare LLC Single Specialty CurrentSince Mar 27, 2024 Accepting new patients
Mindplexity Psychiatric Services, PLLC Single Specialty CurrentSince Sep 3, 2025 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.

Hospital & facility affiliations 5

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

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

Verify at the official NPI Registry.