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SAMANTHA LYNN BANE AGPCNP-C
NPI 1033058904
Nurse Practitioner - Adult Health in Rushville, IN

Active since March 26, 2026PECOS Enrolled
201 CONRAD HARCOURT WAY, RUSHVILLE, IN 46173(765) 932-7591(765) 932-7576 Get Directions Write a Review

NPPES record last updated: May 18, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 18, 2026, Mar 26, 2026 (2 updates tracked since 2026).

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 and is a graduate of Other (2025).

NPPES Registry Identity

NPI1033058904
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSAMANTHA LYNN BANECredential: AGPCNP-C
Location Address201 CONRAD HARCOURT WAYRushville, IN 46173-1157
Mailing Address201 Conrad Harcourt WayRushville, IN 46173-1157 · (765) 932-7591 · Fax (765) 932-7576
Phone(765) 932-7591
Fax(765) 932-7576
Sole ProprietorYes
Medical School CMSOtherGraduated 2025
Enumeration DateMarch 26, 2026
Last NPPES UpdateMay 18, 20262 updates tracked since enumeration
NPPES CertifiedMay 18, 2026
✔ NPI 1033058904 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in IN · 28273349A
201 CONRAD HARCOURT WAY, Rushville, IN 46173
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samantha Lynn Bane Agpcnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082182738
PECOS Enrollment IDI20260511003187
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician 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.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

JILL GARRETH FNP
Nurse Practitioner (Family)
201 CONRAD HARCOURT WAY
RUSHVILLE, IN 46173
Rush County (765) 932-7591
PAMELA LAUGHLIN FNP-C
Nurse Practitioner
201 CONRAD HARCOURT WAY, SUITE A
RUSHVILLE, IN 46173
Rush County (756) 342-8441
LACHISHA MARIE WILLIAMSON
Nurse Practitioner (Family)
201 CONRAD HARCOURT WAY
RUSHVILLE, IN 46173
Rush County (765) 932-7591
BRIAN C RULEY MD
Family Medicine
201 CONRAD HARCOURT WAY
RUSHVILLE, IN 46173
Rush County (765) 932-7591
LINDSEY POINDEXTER NP-C
Nurse Practitioner (Family)
201 CONRAD HARCOURT WAY
RUSHVILLE, IN 46173
Rush County (765) 932-7591
ANDREA CHRISTINE HITTLE N.P.
Nurse Practitioner (Family)
201 CONRAD HARCOURT WAY
RUSHVILLE, IN 46173
Rush County (765) 932-7591
DARREL R. RINEHART MD
Internal Medicine
201 CONRAD HARCOURT WAY, SUITE A
RUSHVILLE, IN 46173
Rush County (765) 932-7591

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 enrollment system.

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 2 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.