GOOD SAMARITAN HOSPITAL PHYSICIANS SERVICES INC
NPI 1043614498
Clinic/Center - Rural Health in Vincennes, IN
About Good Samaritan Hospital Physicians Services Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOOD SAMARITAN HOSPITAL PHYSICIANS SERVICES INC (NPI 1043614498) is a healthcare organization registered as a rural health in Vincennes, Indiana and active in the NPI registry since October 2014. The organization holds a CLIA Waiver certificate valid through July 14, 2027 and lists Adam Thacker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Good Samaritan Hospital Physicians Services Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
171Medicare enrollment records show 171 clinicians reassign Medicare billing to Good Samaritan Hospital Physicians Services Inc, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 80 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 171Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 15D2027048
Good Samaritan Hospital Physician Services, Inc · Vincennes, INFrequently 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 Good Samaritan Hospital Physicians Services Inc's NPI number?
The NPI number for Good Samaritan Hospital Physicians Services Inc is 1043614498. It was assigned to this organization in the NPPES registry on October 14, 2014.
Where is Good Samaritan Hospital Physicians Services Inc located?
Good Samaritan Hospital Physicians Services Inc is located at 528 N 1st St, Vincennes, IN 47591. The listed phone number is (812) 882-4434.
What is Good Samaritan Hospital Physicians Services Inc's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Good Samaritan Hospital Physicians Services Inc enrolled in Medicare?
Yes. Good Samaritan Hospital Physicians Services Inc is registered in the Medicare PECOS enrollment system.
When is Good Samaritan Hospital Physicians Services Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Good Samaritan Hospital Physicians Services Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 171 clinicians in 27 Medicare specialties reassign their Medicare billing to Good Samaritan Hospital Physicians Services Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (53), Internal Medicine (18) and Neurology (13). Of these, 4 practice at this address and 80 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Good Samaritan Hospital Physicians Services Inc hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 15D2027048) is associated with this NPI, valid through July 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Good Samaritan Hospital Physicians Services Inc accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Good Samaritan Hospital Physicians Services Inc 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.
When was this NPI record last updated?
The NPPES record for Good Samaritan Hospital Physicians Services Inc was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Good Samaritan Hospital Physicians Services Inc · NPI 1043614498
Rural Health organization in Vincennes, Indiana. Organization record, active in the CMS NPPES registry since October 14, 2014.
## Identity
- **NPI:** 1043614498 (Entity type: Organization)
- **Enumerated:** October 14, 2014
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** Yes (part of Good Samaritan Hospital Physician Services Inc)
- **Authorized official:** Adam Thacker, CEO
## Practice location
- **Address:** 528 N 1ST ST, Vincennes, IN 47591-1402
- **Phone:** (812) 882-4434 · **Fax:** (812) 885-6318
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 171 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (53), Internal Medicine (18), Neurology (13); 4 practice at this address and 80 within 10 miles; [full list](https://npiprofile.com/npi/1043614498/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2026
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1043614498) · Data from the CMS NPPES public registry.