Individual provider Active NPI

Samantha Rae Ann Weiler, FNP-C

  • Primary Care Nurse Practitioner
  • La Porte, IN
National Provider Identifier
1801760657
Registry record updated Feb 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
28266567A Issued in IN
Practice address
401 Newport Blvd
La Porte, IN 46350-4099
Phone
(219) 575-6244
NPI assigned
Oct 3, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP2300X 28266567A IN Primary

Addresses

Primary practice location

401 Newport Blvd
La Porte, IN 46350-4099

Mailing address

3707 N Promenade Cir
La Porte, IN 46350-8287
Phone (219) 221-0051

Other practice location 1

3777 N Frontage Rd
Michigan City, IN 46360-7695
Phone (219) 809-2889

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
I20260225003898 IN Practitioner - Nurse Practitioner 1557842762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
La Porte Clinic Company LLCGroup PAC ID 0446558357, 66 clinicians

Practice addresses (Care Compare)

401 Newporte Blvd
La Porte, IN 46350
Phone (219) 326-1775

Hospital & facility affiliations

  • Northwest Health-la Porte Hospital, La Porte, IN, CCN 150006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
28266567AINMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
La Porte Clinic Company LLC Single Specialty CurrentSince Mar 1, 2026 Accepting new patients
La Porte Clinic Company LLC Single Specialty CurrentSince Mar 1, 2026 Accepting new patients

Locations

104 E Culver Rd
Ste 105
Knox, IN 46534
Phone (574) 772-7300

401 Newport Blvd
Laporte, IN 46350
Phone (219) 326-1775

3777 N Frontage Rd
Michigan City, IN 46360
Phone (219) 809-2889

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 and National Provider Directory roles.

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": "1759449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770508800000",
    "number": "1801760657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3707 N PROMENADE CIR",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463508287",
            "telephone_number": "219-221-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 NEWPORT BLVD",
            "city": "LA PORTE",
            "state": "IN",
            "postal_code": "463504099",
            "telephone_number": "219-575-6244"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3777 N Frontage Rd",
            "address_purpose": "LOCATION",
            "city": "Michigan City",
            "state": "IN",
            "postal_code": "463607695",
            "country_code": "US",
            "telephone_number": "219-809-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEILER",
        "first_name": "SAMANTHA",
        "middle_name": "RAE ANN",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-03",
        "last_updated": "2026-02-08",
        "certification_date": "2026-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "IN",
            "license": "28266567A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Porte, IN

Sources for this page

Verify at the official NPI Registry.