Active NPI
Leslie Samuels, APRN
- Nurse Practitioner
- Newburgh, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 71017162A
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Memorial Hospital Inc | Current | 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 | Current | 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 | 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.
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
IN, Nurse Practitioner
-
- Family Medicine Physician
- Morganfield, KY
- NPI 1891941688
KY, Nurse Practitioner
-
- Rural Health Clinic/Center
- Fort Branch, IN
- NPI 1285880179
-
- Family Medicine Physician
- Oakland City, IN
- NPI 1396040374
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1447862958
-
- Rural Health Clinic/Center
- Princeton, IN
- NPI 1528214400
-
- Rural Health Clinic/Center
- Morganfield, KY
- NPI 1467027664
-
- Rural Health Clinic/Center
- Sebree, KY
- NPI 1538788443
-
- Rural Health Clinic/Center
- Dixon, KY
- NPI 1942924766
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 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.