SAMANTHA DIANE DAUGHERTY FNP
NPI 1184227068
Nurse Practitioner in Fargo, ND
About Samantha Diane Daugherty Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA DIANE DAUGHERTY FNP (NPI 1184227068) is an individual nurse practitioner in Fargo, North Dakota, licensed in North Dakota (R49889) and active in the NPI registry since November 2020. She is enrolled in Medicare PECOS, is affiliated with Sanford Usd Medical Center, and maintains a secondary practice location in Fargo.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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 Diane Daugherty Fnp 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 Daugherty reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Watertown, SD 57201
- Reassigned Medicare billing, South Dakota enrollment
- 826 clinicians in this Medicare group
Clark, SD 57225
- Reassigned Medicare billing, South Dakota enrollment
- 1,097 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.
Areas of Expertise CMS Part B claims 3
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Sanford Usd Medical Center
Acute Care Hospitals · Sioux Falls, SDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 58104 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
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 Daugherty's NPI number?
The NPI number for Samantha Daugherty is 1184227068. It was assigned to this individual provider in the NPPES registry on November 21, 2020.
Where is Samantha Daugherty located?
Samantha Daugherty practices at 5225 23rd Ave S, Fargo, ND 58104. The listed phone number is (701) 417-2575.
What is Samantha Daugherty's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Daugherty enrolled in Medicare?
Yes. Samantha Daugherty 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 Daugherty's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Daugherty reassigns Medicare benefits to 2 organizations: Sanford Clinic (Watertown, SD) and Sanford Medical Center (Clark, SD). 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 Daugherty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Daugherty accept?
Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan, Security Health Plan, Wellmark Health Plan of Iowa, Inc. and Wellmark of South Dakota, Inc. list Samantha Daugherty 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 Daugherty affiliated with any hospitals?
According to CMS data, Samantha Daugherty is affiliated with Sanford Usd Medical Center.
When was this NPI record last updated?
The NPPES record for Samantha Daugherty was last updated on August 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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 Diane Daugherty, FNP · NPI 1184227068
Nurse Practitioner physician in Fargo, North Dakota. Individual provider, active in the CMS NPPES registry since November 21, 2020.
## Identity
- **NPI:** 1184227068 (Entity type: Individual)
- **Enumerated:** November 21, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** R49889 (North Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5225 23RD AVE S, Fargo, ND 58104-7927
- **Phone:** (701) 417-2575
## 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): Sanford Clinic (NPI 1801840632, Watertown, SD); Sanford Medical Center (NPI 1699755413, Clark, SD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2020
## Record status
- **NPPES last updated:** August 6, 2021
---
Source: [NPI Profile](https://npiprofile.com/npi/1184227068) · Data from the CMS NPPES public registry.