GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC
NPI 1336576875
Nurse Practitioner in Vincennes, IN
About Good Samaritan Hospital Physician Services, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GOOD SAMARITAN HOSPITAL PHYSICIAN SERVICES, INC (NPI 1336576875) is a healthcare organization registered as a nurse practitioner in Vincennes, Indiana and active in the NPI registry since September 2013. The organization maintains a secondary practice location in Vincennes and lists Adam Thacker, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 4
Other Names 2
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Good Samaritan Hospital Physician Services, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
172Medicare enrollment records show 172 clinicians reassign Medicare billing to Good Samaritan Hospital Physician Services, Inc, which bills Medicare for the services they deliver. Of these, 81 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 27
Nearest to this location (20)
See all 172Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Good Samaritan Hospital Physician Services, Inc's NPI number?
The NPI number for Good Samaritan Hospital Physician Services, Inc is 1336576875. It was assigned to this organization in the NPPES registry on September 30, 2013. The provider is also known as Good Samaritan Hospital and Palliative Care.
Where is Good Samaritan Hospital Physician Services, Inc located?
Good Samaritan Hospital Physician Services, Inc is located at 429 S 6th St, Vincennes, IN 47591. The listed phone number is (812) 885-8690.
What is Good Samaritan Hospital Physician Services, Inc's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Good Samaritan Hospital Physician Services, Inc enrolled in Medicare?
Yes. Good Samaritan Hospital Physician Services, Inc is registered in the Medicare PECOS enrollment system.
When is Good Samaritan Hospital Physician Services, Inc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Indiana, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Good Samaritan Hospital Physician Services, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 172 clinicians in 27 Medicare specialties reassign their Medicare billing to Good Samaritan Hospital Physician Services, Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (54), Internal Medicine (18) and Neurology (13). Of these, 81 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Good Samaritan Hospital Physician Services, Inc accept?
Health plans from Anthem Blue Cross and Blue Shield and CareSource list Good Samaritan Hospital Physician Services, Inc 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 Good Samaritan Hospital Physician Services, Inc was last updated on April 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Good Samaritan Hospital Physician Services, Inc · NPI 1336576875
Nurse Practitioner organization in Vincennes, Indiana. Organization record, active in the CMS NPPES registry since September 30, 2013.
## Identity
- **NPI:** 1336576875 (Entity type: Organization)
- **Enumerated:** September 30, 2013
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** Good Samaritan Hospital (Other Name); Palliative Care (Other Name)
- **Organization subpart:** Yes (part of Good Samaritan Hospital)
- **Authorized official:** Adam Thacker, CEO
## Practice location
- **Address:** 429 S 6TH ST, Vincennes, IN 47591-1022
- **Phone:** (812) 885-8690 · **Fax:** (812) 885-8691
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, Indiana, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 172 clinicians in 27 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (54), Internal Medicine (18), Neurology (13); 81 practice within 10 miles; [full list](https://npiprofile.com/npi/1336576875/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 14, 2026
- **Other identifiers:** Medicaid 300092009 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1336576875) · Data from the CMS NPPES public registry.