SAMANTHA K POLK FNP-C
NPI 1417357542
Nurse Practitioner - Family in Tell City, IN
About Samantha K Polk Fnp-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA K POLK FNP-C (NPI 1417357542) is an individual family provider in Tell City, Indiana, licensed in Indiana (71005191A) and active in the NPI registry since August 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Owensboro.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Samantha K Polk Fnp-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Samantha Polk reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Tell City, IN 47586
- Reassigned Medicare billing, Indiana enrollment
- 46 clinicians in this Medicare group
Leopold, IN 47551
- Reassigned Medicare billing, Indiana enrollment
- Medicare enrollment name: Perry County Family Practice
- 6 clinicians in this Medicare group
Philpot, KY 42366
- Reassigned Medicare billing, Kentucky enrollment
- 174 clinicians in this Medicare group
Lawrenceburg, IN 47025
- Reassigned Medicare billing, Indiana and Florida enrollments
- Also billed through NPI 1346736758 (Florida)
- 86 clinicians in this Medicare group
Bethesda, MD 20814
- Reassigned Medicare billing, Indiana enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47586 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Polk's NPI number?
The NPI number for Samantha Polk is 1417357542. It was assigned to this individual provider in the NPPES registry on August 26, 2014.
Where is Samantha Polk located?
Samantha Polk practices at 602 Main St, Tell City, IN 47586. The listed phone number is (812) 608-0468.
What is Samantha Polk's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Samantha Polk enrolled in Medicare?
Yes. Samantha Polk is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Samantha Polk's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Polk reassigns Medicare benefits to 5 organizations: Perry County Memorial Hospital (Tell City, IN), Perry County Memorial Hospital (Leopold, IN), Deaconess Clinic, Inc. (Philpot, KY), Recover Together, LLC (Lawrenceburg, IN) and Care Talk Health Fl PA (Bethesda, MD). Each 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 Samantha Polk's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Polk accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and CareSource list Samantha Polk 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 Polk was last updated on September 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 K Polk, FNP-C · NPI 1417357542
Family physician in Tell City, Indiana. Individual provider, active in the CMS NPPES registry since August 26, 2014.
## Identity
- **NPI:** 1417357542 (Entity type: Individual)
- **Enumerated:** August 26, 2014
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 71005191A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 602 MAIN ST, Tell City, IN 47586-1704
- **Phone:** (812) 608-0468
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Perry County Memorial Hospital (NPI 1740151489, Tell City, IN); Perry County Memorial Hospital (NPI 1215928536, Leopold, IN); Deaconess Clinic, Inc. (NPI 1942032610, Philpot, KY); Recover Together, LLC (NPI 1891102497, Lawrenceburg, IN); Care Talk Health Fl PA (NPI 1477263077, Bethesda, MD) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 22, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1417357542) · Data from the CMS NPPES public registry.