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KELSEY SAMMET
NPI 1306518634
Nurse Practitioner in Newburgh, IN

Active since October 05, 2021PECOS EnrolledAccepts Medicare Assignment
76.19/100
CMS Quality Rating
4199 GATEWAY BLVD STE 3500, NEWBURGH, IN 47630(812) 858-5950(812) 858-5955 Get Directions Write a Review

NPPES record last updated: November 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 13, 2023, Aug 15, 2023, Oct 5, 2021 (3 updates tracked since 2021).

About Kelsey Sammet NPPES

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

KELSEY SAMMET (NPI 1306518634) is an individual nurse practitioner in Newburgh, Indiana, licensed in Indiana (71011594A) and active in the NPI registry since October 2021. She is enrolled in Medicare PECOS, is affiliated with Deaconess Hospital Inc, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1306518634
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKELSEY SAMMET
Location Address4199 GATEWAY BLVD STE 3500Newburgh, IN 47630-7909
Mailing Address4199 Gateway Blvd Ste 3500Newburgh, IN 47630-7909 · (812) 858-5950 · Fax (812) 858-5955
Phone(812) 858-5950
Fax(812) 858-5955
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 5, 2021
Last NPPES UpdateNovember 13, 20233 updates tracked since enumeration
NPPES CertifiedNovember 13, 2023
✔ NPI 1306518634 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 · 71011594A
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.
4199 GATEWAY BLVD STE 3500, Newburgh, IN 47630
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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

Kelsey Sammet 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 ID1557769056
PECOS Enrollment IDI20211014000850
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.

Areas of Expertise CMS Part B claims 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
83 services71 patients
Electronic assessment of bladder emptying 51741
Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.
58 services56 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services38 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
48 services44 patients
Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784
This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.
35 services35 patients
Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies 51729
This procedure helps to measure the pressure inside your bladder while passing fluid. It checks how well your bladder and the tube that carries fluid from your bladder are working. It's important for diagnosing issues with fluid flow and storage.
33 services33 patients

Hospital Affiliations CMS Care Compare 3

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

Deaconess Hospital Inc

Acute Care Hospitals · Evansville, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150082
Location600 Mary StEvansville, IN 47710 · Vanderburgh County
Emergency services

Women's Hospital The

Acute Care Hospitals · Newburgh, IN
5/5 CMS rating
OwnershipProprietary
CMS Certification Number150149
Location4199 Gateway BlvdNewburgh, IN 47630 · Warrick County
Emergency services Birthing friendly

Deaconess Henderson Hospital

Acute Care Hospitals · Henderson, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180056
Location1305 N Elm StHenderson, KY 42420 · Henderson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 47630 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.

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.

76.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.05
Promoting Interoperability100
Improvement Activities40
Cost52.58

Other Providers at the Same Location NPPES

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

PRESTON JEROME EDGE MD
Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)
4199 GATEWAY BLVD STE 3500
NEWBURGH, IN 47630
Warrick County (812) 858-5950

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 Kelsey Sammet's NPI number?

The NPI number for Kelsey Sammet is 1306518634. It was assigned to this individual provider in the NPPES registry on October 5, 2021.

Where is Kelsey Sammet located?

Kelsey Sammet practices at 4199 Gateway Blvd Ste 3500, Newburgh, IN 47630. The listed phone number is (812) 858-5950.

What is Kelsey Sammet's specialty?

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

Is Kelsey Sammet enrolled in Medicare?

Yes. Kelsey Sammet 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 Kelsey Sammet accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Kelsey Sammet 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 Kelsey Sammet affiliated with any hospitals?

According to CMS data, Kelsey Sammet is affiliated with Deaconess Hospital Inc, Women's Hospital The and Deaconess Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Kelsey Sammet was last updated on November 13, 2023. 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.