SAMANTHA MOSER
NPI 1194690677
Nurse Practitioner in Fort Wayne, IN

Active since October 06, 2025PECOS EnrolledAccepts Medicare Assignment
11050 PARKVIEW CIRCLE DR, FORT WAYNE, IN 46845(833) 724-8326(260) 425-6845 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 2, 2026, Dec 18, 2025, Oct 6, 2025 (3 updates tracked since 2025).

About Samantha Moser NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SAMANTHA MOSER (NPI 1194690677) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71017386A) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, is affiliated with Parkview Regional Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1194690677
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameSAMANTHA MOSER
Location Address11050 PARKVIEW CIRCLE DRFort Wayne, IN 46845-1739
Mailing Address11109 Parkview Plaza Dr # 117Fort Wayne, IN 46845-1701
Fax(260) 425-6845
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
Last NPPES UpdateFebruary 2, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 2, 2026
NPI 1194690677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in IN · 71017386A
Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

11050 PARKVIEW CIRCLE DR, Fort Wayne, IN 46845

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Samantha Moser 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.

PECOS PAC ID7416443932
PECOS Enrollment IDI20260105000880
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Parkview Regional Medical Center

Acute Care Hospitals · Fort Wayne, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150021
Location11109 Parkview Plaza DriveFort Wayne, IN 46845 · Allen County
Emergency services Birthing friendly

Parkview Dekalb Hospital

Acute Care Hospitals · Auburn, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number150045
Location1316 E Seventh StAuburn, IN 46706 · De Kalb County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46845 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 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (Oncology)
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Obstetrics & Gynecology (Gynecologic Oncology)
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Surgery
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845
Nurse Practitioner
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845

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 Moser's NPI number?

The NPI number for Samantha Moser is 1194690677. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Samantha Moser located?

Samantha Moser practices at 11050 Parkview Circle Dr, Fort Wayne, IN 46845. The listed phone number is (833) 724-8326.

What is Samantha Moser's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Samantha Moser enrolled in Medicare?

Yes. Samantha Moser 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.

Is Samantha Moser affiliated with any hospitals?

According to CMS data, Samantha Moser is affiliated with Parkview Regional Medical Center and Parkview Dekalb Hospital.

When was this NPI record last updated?

The NPPES record for Samantha Moser was last updated on February 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.