SAMANTHA T SUTTLES AGACNP
NPI 1205674058
Nurse Practitioner - Family in Centerville, IN
About Samantha T Suttles Agacnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA T SUTTLES AGACNP (NPI 1205674058) is an individual family provider in Centerville, Indiana, licensed in Indiana (28251143A) and active in the NPI registry since July 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2021).
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 T Suttles Agacnp 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
3Medicare enrollment records show Samantha Suttles reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Centerville, IN 47330
- Reassigned Medicare billing, Indiana enrollment
Masury, OH 44438
- Reassigned Medicare billing, Indiana enrollment
- 36 clinicians in this Medicare group
- Reassigned Medicare billing, Indiana enrollment
- 50 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47330 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
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 Suttles's NPI number?
The NPI number for Samantha Suttles is 1205674058. It was assigned to this individual provider in the NPPES registry on July 16, 2024.
Where is Samantha Suttles located?
Samantha Suttles practices at 4282 Lamott Rd, Centerville, IN 47330. The listed phone number is (765) 277-3951.
What is Samantha Suttles's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Suttles enrolled in Medicare?
Yes. Samantha Suttles 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 Suttles's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Suttles reassigns Medicare benefits to 3 organizations: Misfits Medicine LLC (Centerville, IN), PA Post Acute Services PC (Masury, OH) and Cnp Operating Co LLC (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 Suttles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Suttles accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Samantha Suttles 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 Samantha Suttles was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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 T Suttles, AGACNP · NPI 1205674058
Family physician in Centerville, Indiana. Individual provider, active in the CMS NPPES registry since July 16, 2024.
## Identity
- **NPI:** 1205674058 (Entity type: Individual)
- **Enumerated:** July 16, 2024
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 28251143A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 4282 LAMOTT RD, Centerville, IN 47330-9647
- **Phone:** (765) 277-3951
## 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:** 3 organizations under Medicare reassignment (form CMS-855R): Misfits Medicine LLC (NPI 1740146612, Centerville, IN); PA Post Acute Services PC (NPI 1255057063, Masury, OH); Cnp Operating Co LLC (IN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** January 14, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205674058) · Data from the CMS NPPES public registry.