Samantha Nicole Lotz

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

02009162A Issued in IN

Practice address

516 Court St Ste a
Evansville, IN 47708-1340

Phone

(812) 485-2121

Fax

(812) 485-7576

NPI assigned

Mar 24, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha Nicole Peak Former name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Pediatric Medicine

Education

Marian University College of Osteopathic Medicine, 2023

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Interoperability endpoints

• Direct secure messaging: samantha.lotz.1@7598.direct.athenahealth.com

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

{
    "created_epoch": "1679616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1992408363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 COURT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081340",
            "telephone_number": "812-485-2121",
            "fax_number": "812-485-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 COURT ST STE A",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477081340",
            "telephone_number": "812-485-2121",
            "fax_number": "812-485-7576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 St Marys Epworth Xing Ste A100",
            "address_purpose": "LOCATION",
            "city": "Newburgh",
            "state": "IN",
            "postal_code": "476309497",
            "country_code": "US",
            "telephone_number": "812-485-7780",
            "fax_number": "812-469-8330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3801 Bellemeade Ave Ste 200E",
            "address_purpose": "LOCATION",
            "city": "Evansville",
            "state": "IN",
            "postal_code": "477140114",
            "country_code": "US",
            "telephone_number": "812-485-7240",
            "fax_number": "812-485-7244",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOTZ",
        "first_name": "SAMANTHA",
        "middle_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-24",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "02009162A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "PEAK",
            "middle_name": "NICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Buddy P Lopez, MD
• Gabrielle Lopez
• Jonna M Lopez, CST
• Nathaniel Lopez
• Adam Lottes
• Stuart T. Love, DPM
• Michelle Marie Lovelady-Smith, L.C.S.W.
• Kelli Lovell, PHARMD
• Michael L Lovell, CRNA
• Hannah Lovvorn, PTA

• Pediatrics Physician in Evansville, IN
• Providers in Evansville, IN by specialty
• Pediatrics Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; 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.