Individual provider Active NPI

Leslie Samuels, APRN

  • Nurse Practitioner
  • Newburgh, IN
National Provider Identifier
1992559702
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71017162A Issued in IN
Practice address
4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone
(812) 858-2110
Fax
(812) 858-2120
NPI assigned
Apr 16, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 71017162A IN Primary
Nurse Practitioner 363L00000X APRN11031173 FL

Addresses

Primary practice location

4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947

Mailing address

4011 Gateway Blvd Ste 100
Newburgh, IN 47630-8947
Phone (812) 858-2110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IN, KY3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20240605000085 FL Practitioner - Nurse Practitioner 2668914797 Reassigns benefits to 1 organization
I20251013003228 IN Practitioner - Nurse Practitioner 2668914797 Reassigns benefits to 1 organization
I20251020000144 KY Practitioner - Nurse Practitioner 2668914797 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
Deaconess Clinic Inc 411 clinicians

Practice addresses (Care Compare)

2242 US Hwy 41 N
Henderson, KY 42420-2375
Phone (270) 844-8515

4011 Gateway Blvd
Suite 100
Newburgh, IN 47630-8947
Phone (812) 858-2100

Hospital & facility affiliations

  • Deaconess Hospital Inc Hospital, Evansville, IN, CCN 150082

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors Memorial Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Deaconess Clinic Inc. Nurse Practitioner Current Accepting new patients
Doctors Memorial Hospital Inc Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Current Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Deaconess Clinic Inc Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Doctors Memorial Hospital Inc CurrentSince May 1, 2024 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner CurrentSince Oct 20, 2025 Accepting new patients
Deaconess Clinic, Inc Nurse Practitioner Past Accepting new patients

Locations

333 N Byron Butler Pkwy
Perry, FL 32347
Phone (850) 584-0643

3150 Warrick Dr
Boonville, IN 47601
Phone (812) 450-6430

120 SE 4th St
Evansville, IN 47708
Phone (812) 426-6638

2622 Menards Dr
Evansville, IN 47715
Phone (812) 450-2622

4506 N 1st Ave
Ste 2
Evansville, IN 47710

545 S Boehne Camp Rd
Evansville, IN 47712
Phone (812) 402-1264

421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645

4011 Gateway Blvd
Ste 100
Newburgh, IN 47630
Phone (812) 858-2100

1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187

1414 W Broadway St
Princeton, IN 47670
Phone (812) 385-5283

2242 US Highway 41 N
Henderson, KY 42420
Phone (270) 844-8515

1700 US Highway 60 W
Morganfield, KY 42437
Phone (270) 389-0031

2710 Heartland Crossing Blvd
Owensboro, KY 42303
Phone (270) 561-0140

2710 Heartland Crossing Blvd
Ste A
Owensboro, KY 42303
Phone (270) 561-0140

Organizations & group practices 16

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 16

Hospital & facility affiliations 2

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": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1992559702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD STE 100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-858-2110",
            "fax_number": "812-858-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 GATEWAY BLVD STE 100",
            "city": "NEWBURGH",
            "state": "IN",
            "postal_code": "476308947",
            "telephone_number": "812-858-2110",
            "fax_number": "812-858-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMUELS",
        "first_name": "LESLIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71017162A",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11031173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newburgh, IN

Sources for this page

Verify at the official NPI Registry.