Individual provider Active NPI

Samantha Lambertus, NP

  • Family Nurse Practitioner
  • Clinton, IN
National Provider Identifier
1730617598
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
71007104B Issued in IN
Practice address
819 S 3Rd St
Clinton, IN 47842-2205
Phone
(765) 832-2464
Fax
(765) 832-1638
NPI assigned
May 24, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 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 71007104B IN Primary

Addresses

Primary practice location

819 S 3Rd St
Clinton, IN 47842-2205

Mailing address

PO Box 266
Clinton, IN 47842-0266
Phone (765) 832-9301

Other practice location 1

503 Anderson St
Rockville, IN 47872-1008
Phone (765) 569-3182

Other practice location 2

101 N Grant St
Cayuga, IN 47928-8208
Phone (765) 492-3316

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
I20170717003682 IN Practitioner - Nurse Practitioner 5890065262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5500 S US Hwy 41
Terre Haute, IN 47802-4745
Phone (812) 232-0564

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71007104BINMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Union Associated Physicians Clinic LLC CurrentSince Mar 2, 2020 Accepting new patients
Union Associated Physicians Clinic, LLC CurrentSince Mar 2, 2020 Accepting new patients

Locations

101 N Grant St
Cayuga, IN 47928
Phone (765) 492-3316

819 S 3rd St
Clinton, IN 47842
Phone (765) 822-2464

503 Anderson St
Rockville, IN 47872
Phone (317) 832-2464

2133 S State Road 46
Terre Haute, IN 47803
Phone (812) 242-3737

221 S 6th St
Terre Haute, IN 47807
Phone (812) 242-3105

5500 S US Highway 41
Terre Haute, IN 47802
Phone (812) 238-4599

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 3

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1730617598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 266",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478420266",
            "telephone_number": "765-832-9301",
            "fax_number": "765-832-9302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S 3RD ST",
            "city": "CLINTON",
            "state": "IN",
            "postal_code": "478422205",
            "telephone_number": "765-832-2464",
            "fax_number": "765-832-1638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "503 Anderson St",
            "address_purpose": "LOCATION",
            "city": "Rockville",
            "state": "IN",
            "postal_code": "478721008",
            "country_code": "US",
            "telephone_number": "765-569-3182",
            "fax_number": "765-569-2950",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 N Grant St",
            "address_purpose": "LOCATION",
            "city": "Cayuga",
            "state": "IN",
            "postal_code": "479288208",
            "country_code": "US",
            "telephone_number": "765-492-3316",
            "fax_number": "765-492-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAMBERTUS",
        "first_name": "SAMANTHA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "71007104B",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IN

Sources for this page

Verify at the official NPI Registry.