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Individual provider Active NPI

Samantha Rose Lehman, NP

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1770934903
Registry record updated Nov 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
28203792A Issued in IN
Practice address
309 Insurance Dr
Fort Wayne, IN 46825-4252
Phone
(866) 434-3255
Fax
(833) 673-0254
NPI assigned
Jun 29, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 28203792A IN Primary

Addresses

Primary practice location

309 Insurance Dr
Fort Wayne, IN 46825-4252

Mailing address

1913 La Vista Dr
Warsaw, IN 46580-4948
Phone (574) 529-1588

Other names 1

  • Samanta Rose Hilker Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160906000136 IN Practitioner - Nurse Practitioner 2062708894 Reassigns benefits to 2 organizations

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
Woodlawn Hospital 30 clinicians

Practice addresses (Care Compare)

530 N Michigan
Argos Medical Center
Argos, IN 46501-1134
Phone (574) 892-5131

Hospital & facility affiliations

  • Woodlawn Hospital Hospital, Rochester, IN, CCN 151313

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28203792AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. Nurse Practitioner Past Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 1

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": "1467158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1770934903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1913 LA VISTA DR",
            "city": "WARSAW",
            "state": "IN",
            "postal_code": "465804948",
            "telephone_number": "574-529-1588",
            "fax_number": "574-335-0741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 INSURANCE DR",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254252",
            "telephone_number": "866-434-3255",
            "fax_number": "833-673-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEHMAN",
        "first_name": "SAMANTHA",
        "middle_name": "ROSE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-29",
        "last_updated": "2022-11-11",
        "certification_date": "2022-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "28203792A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTA",
            "last_name": "HILKER",
            "middle_name": "ROSE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.