SAMANTHA J STEPHENSON N.P.
NPI 1407227911
Nurse Practitioner in Fort Wayne, IN
About Samantha J Stephenson N.p. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA J STEPHENSON N.P. (NPI 1407227911) is an individual nurse practitioner in Fort Wayne, Indiana, licensed in Indiana (71005916A) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha J Stephenson N.p. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46845 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
FORT WAYNE, IN 46845
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 Stephenson's NPI number?
The NPI number for Samantha Stephenson is 1407227911. It was assigned to this individual provider in the NPPES registry on October 9, 2015.
Where is Samantha Stephenson located?
Samantha Stephenson practices at 11109 Parkview Plaza Dr, Fort Wayne, IN 46845. The listed phone number is (260) 672-6620.
What is Samantha Stephenson's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Samantha Stephenson enrolled in Medicare?
Yes. Samantha Stephenson is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Samantha Stephenson was last updated on March 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Samantha J Stephenson, N.P. · NPI 1407227911
Nurse Practitioner physician in Fort Wayne, Indiana. Individual provider, active in the CMS NPPES registry since October 9, 2015.
## Identity
- **NPI:** 1407227911 (Entity type: Individual)
- **Enumerated:** October 9, 2015
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **State license:** 71005916A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 11109 PARKVIEW PLAZA DR, Fort Wayne, IN 46845-1701
- **Phone:** (260) 672-6620 · **Fax:** (260) 672-6639
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** March 31, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1407227911) · Data from the CMS NPPES public registry.