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SAMANTHA K POLK FNP-C
NPI 1417357542
Nurse Practitioner - Family in Tell City, IN

Active since August 26, 2014PECOS EnrolledAccepts Medicare Assignment
602 MAIN ST, TELL CITY, IN 47586(812) 608-0468 Get Directions Write a Review

NPPES record last updated: September 22, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 22, 2022, Sep 15, 2022, Nov 27, 2018 and 1 more (4 updates tracked since 2016).

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, maintains a secondary practice location in Owensboro, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1417357542
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSAMANTHA K POLKCredential: FNP-C
Location Address602 MAIN STTell City, IN 47586-1704
Mailing Address11616 E State Road 66Evanston, IN 47531-8151 · (812) 608-0468
Phone(812) 608-0468
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateAugust 26, 2014
Last NPPES UpdateSeptember 22, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2022
✔ NPI 1417357542 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in IN · 71005191A
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 71005191A (IN)
602 MAIN ST, Tell City, IN 47586
Open in Google Maps ↗

Secondary Practice Location 1

Location 12710 Heartland Crossing BlvdOwensboro, KY 42303-9480 · Phone (270) 926-3774 · Fax (270) 478-1417

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Samantha K Polk Fnp-c 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 ID8426370388
PECOS Enrollment IDI20141203001258, I20240301001243
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 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.

Testing for presence of drug, read by direct observation 80305
Testing for the presence of drugs involves collecting a sample, usually urine, which is then analyzed for specific substances. The process is monitored directly to ensure accuracy and integrity. This test helps to confirm if drugs are present in your system.
65 services11 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.
40 services12 patients

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.

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.

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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Samantha Polk accept?

Health plans from 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 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.