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SAMUEL ALLEN BARTROM
NPI 1295570042
Student in an Organized Health Care Education/Training Program in La Fontaine, IN

Active since June 25, 2024PECOS Enrolled
PO BOX 22, LA FONTAINE, IN 46940(574) 215-9384 Get Directions Write a Review

NPPES record last updated: June 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Samuel Allen Bartrom NPPES

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

SAMUEL ALLEN BARTROM (NPI 1295570042) is an individual student in an organized health care education/training program in La Fontaine, Indiana and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295570042
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameSAMUEL ALLEN BARTROM
Location AddressPO BOX 22La Fontaine, IN 46940-0022
Mailing AddressPo Box 22La Fontaine, IN 46940-0022 · (574) 215-9384
Phone(574) 215-9384
Sole ProprietorNo
Enumeration DateJune 25, 2024
NPPES CertifiedJune 25, 2024
✔ NPI 1295570042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
PO BOX 22, La Fontaine, IN 46940
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Samuel Allen Bartrom is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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 Samuel Bartrom's NPI number?

The NPI number for Samuel Bartrom is 1295570042. It was assigned to this individual provider in the NPPES registry on June 25, 2024.

Where is Samuel Bartrom located?

Samuel Bartrom practices at PO Box 22, La Fontaine, IN 46940. The listed phone number is (574) 215-9384.

What is Samuel Bartrom's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Samuel Bartrom enrolled in Medicare?

Yes. Samuel Bartrom is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Samuel Bartrom was last updated on June 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.