Samantha Anne Harrison, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

4704316935 Issued in MI

Practice address

440 Woodward Ave
Iron Mountain, MI 49801-4631

Phone

(906) 776-9040

Fax

(906) 774-5950

NPI assigned

Nov 30, 2015

Last updated

Jul 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Nurse Practitioner

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaconess Memorial Medical Center IncGroup PAC ID 4587578042, shared by 8 NPIs, 140 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hospital and Health Care Center Hospital, Jasper, IN, CCN 150115

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sharrison238286@direct.deaconess.com
• Direct secure messaging: sharrison269778@direct.thedacare.org

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.

• Deaconess Clinic Inc.

  • Internal Medicine Physician
  • Evansville, IN
  • NPI 1619123585

  Nurse Practitioner

  Medicare reassignment NPD
• Deaconess Memorial Medical Center Inc

  dba Memorial Healthcare of Huntingburg

  • Emergency Medicine Physician
  • Huntingburg, IN
  • NPI 1114120128
  Medicare reassignment NPD
• Deaconess Memorial Medical Center Inc

  dba French Lick Family Medicine

  • Rural Health Clinic/Center
  • French Lick, IN
  • NPI 1881843522

  Nurse Practitioner

  Medicare reassignment NPD
• Deaconess Clinic Inc

  • Pediatrics Physician
  • Washington, IN
  • NPI 1356132310

  Nurse Practitioner

  NPD
• Deaconess Clinic, Inc

  • Pediatrics Physician
  • Newburgh, IN
  • NPI 1376799213

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center Inc

  dba Dale Family Medicine

  • Family Medicine Physician
  • Dale, IN
  • NPI 1174603153

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center Inc

  dba Memorial Health Washington

  • Family Medicine Physician
  • Washington, IN
  • NPI 1295124857
  NPD
• Deaconess Memorial Medical Center Inc

  dba Deaconess Comprehensive Pain Management - Jasper

  • Pain Medicine Physician
  • Jasper, IN
  • NPI 1457164543
  NPD
• Deaconess Memorial Medical Center Inc

  dba Martin County Health Center

  • Family Medicine Physician
  • Shoals, IN
  • NPI 1558443077

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center Inc

  dba Memorial Hospital and HealthCare Center

  • Hospitalist Physician
  • Jasper, IN
  • NPI 1588778518

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center Inc

  dba Petersburg Family Medicine

  • Family Medicine Physician
  • Petersburg, IN
  • NPI 1689770083

  Nurse Practitioner

  NPD
• Deaconess Memorial Medical Center, Inc

  dba Loogootee Family Medicine

  • Family Medicine Physician
  • Loogootee, IN
  • NPI 1740360700

  Nurse Practitioner

  NPD

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

• Deaconess Memorial Medical Center, Inc.

  dba Memorial Hospital & Health Care Center

  • General Acute Care Hospital
  • Jasper, IN
  • NPI 1003895947
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1448841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688515200000",
    "number": "1861866923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22487",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543052487",
            "telephone_number": "920-445-7222",
            "fax_number": "920-445-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 WOODWARD AVE",
            "city": "IRON MOUNTAIN",
            "state": "MI",
            "postal_code": "498014631",
            "telephone_number": "906-776-9040",
            "fax_number": "906-774-5950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1721 S. Stephenson Ave",
            "address_purpose": "LOCATION",
            "city": "Iron Mountain",
            "state": "MI",
            "postal_code": "498013637",
            "country_code": "US",
            "telephone_number": "906-776-5800",
            "fax_number": "906-228-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "SAMANTHA",
        "middle_name": "ANNE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-11-30",
        "last_updated": "2023-07-05",
        "certification_date": "2023-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71013993A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MI",
            "license": "4704316935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kassidy Rose Harpenau, PHARMD
• Marti Harrington, PA-C
• Christine Mary Harris, MSOT
• Sarah Jean Harris, NP
• James E Harrison, MD
• Kayla Hartl, LPN
• Dean L Hartwig, O. D.
• Jeanelle Hautala, R.N.
• Aaron Hautamaki, RN
• Erin Rene Havrilka, PHARM. D.

• Family Nurse Practitioner in Iron Mountain, MI
• Providers in Iron Mountain, MI by specialty
• Family Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.

Verify at the official NPI Registry.