SAMANTHA JO SPARKS FNP-BC
NPI 1235893447
Nurse Practitioner - Family in Madison, IN

Active since October 25, 2021PECOS EnrolledAccepts Medicare Assignment
1373 E STATE ROAD 62, MADISON, IN 47250(812) 801-0800 Get Directions Write a Review

NPPES record last updated: October 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Samantha Jo Sparks Fnp-bc NPPES

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

SAMANTHA JO SPARKS FNP-BC (NPI 1235893447) is an individual family provider in Madison, Indiana, licensed in Indiana (71011714A) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1235893447
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA JO SPARKSCredential: FNP-BC
Location Address1373 E STATE ROAD 62Madison, IN 47250-7328
Mailing Address16601 State Road 250Rising Sun, IN 47040-8725 · (812) 621-8624
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 25, 2021
NPPES CertifiedSeptember 30, 2021
NPI 1235893447 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in IN · 71011714A
Also ListedRegistered NurseTaxonomy 163W00000X · License 28213316A (IN)
1373 E STATE ROAD 62, Madison, IN 47250

Accepted Insurance

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 Jo Sparks Fnp-bc 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 ID4789073289
PECOS Enrollment IDI20211122001129
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 47250 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.

Nurse Practitioner (Family)
1373 E STATE ROAD 62
MADISON, IN 47250
Surgery
1373 E STATE ROAD 62
MADISON, IN 47250
Dietitian, Registered
1373 E STATE ROAD 62
MADISON, IN 47250
Student in an Organized Health Care Education/Training Program
1373 E STATE ROAD 62
MADISON, IN 47250
Family Medicine
1373 E STATE ROAD 62, LEVEL 2
MADISON, IN 47250
Internal Medicine
1373 E STATE ROAD 62, LEVEL 1
MADISON, IN 47250
Family Medicine
1373 E STATE ROAD 62
MADISON, IN 47250
Anesthesiology
1373 E STATE ROAD 62
MADISON, IN 47250

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 Sparks's NPI number?

The NPI number for Samantha Sparks is 1235893447. It was assigned to this individual provider in the NPPES registry on October 25, 2021.

Where is Samantha Sparks located?

Samantha Sparks practices at 1373 E State Road 62, Madison, IN 47250. The listed phone number is (812) 801-0800.

What is Samantha Sparks's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Samantha Sparks enrolled in Medicare?

Yes. Samantha Sparks 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.

What insurance does Samantha Sparks accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Samantha Sparks 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 Sparks was last updated on October 25, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.