SAMANTHA LYNN BANE AGPCNP-C
NPI 1033058904
Nurse Practitioner - Adult Health in Rushville, IN
About Samantha Lynn Bane Agpcnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA LYNN BANE AGPCNP-C (NPI 1033058904) is an individual adult health provider in Rushville, Indiana, licensed in Indiana (28273349A) and active in the NPI registry since March 2026. She is enrolled in Medicare PECOS, is affiliated with Rush Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Samantha Lynn Bane Agpcnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Bane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Rushville, IN 46173
- Reassigned Medicare billing, Indiana enrollment
- 93 clinicians in this Medicare group
Greenfield, IN 46140
- Reassigned Medicare billing, Indiana enrollment
- 203 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Rush Memorial Hospital
Critical Access Hospitals · Rushville, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46173 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Samantha Bane's NPI number?
The NPI number for Samantha Bane is 1033058904. It was assigned to this individual provider in the NPPES registry on March 26, 2026.
Where is Samantha Bane located?
Samantha Bane practices at 201 Conrad Harcourt Way, Rushville, IN 46173. The listed phone number is (765) 932-7591.
What is Samantha Bane's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.
Is Samantha Bane enrolled in Medicare?
Yes. Samantha Bane is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Samantha Bane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Bane reassigns Medicare benefits to 2 organizations: Rush Memorial Hospital (Rushville, IN) and Hancock Physician Network, LLC (Greenfield, IN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Samantha Bane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Bane accept?
Health plans from CareSource list Samantha Bane as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Samantha Bane affiliated with any hospitals?
According to CMS data, Samantha Bane is affiliated with Rush Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Bane was last updated on May 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Samantha Lynn Bane, AGPCNP-C · NPI 1033058904
Adult Health physician in Rushville, Indiana. Individual provider, active in the CMS NPPES registry since March 26, 2026.
## Identity
- **NPI:** 1033058904 (Entity type: Individual)
- **Enumerated:** March 26, 2026
- **Primary specialty:** Nurse Practitioner - Adult Health · taxonomy 363LA2200X
- **State license:** 28273349A (Indiana)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 201 CONRAD HARCOURT WAY, Rushville, IN 46173-1157
- **Phone:** (765) 932-7591 · **Fax:** (765) 932-7576
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Rush Memorial Hospital (NPI 1497726020, Rushville, IN); Hancock Physician Network, LLC (NPI 1609806470, Greenfield, IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** May 18, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1033058904) · Data from the CMS NPPES public registry.