SAMANTHA GREGORY DAGENHARDT RN, MS, MSN, PMHCNS-
NPI 1659642841
Nurse Practitioner - Psychiatric/Mental Health in Port Washington, WI

Active since January 19, 2012PECOS EnrolledAccepts Medicare Assignment
121 W MAIN ST, PORT WASHINGTON, WI 53074(262) 284-8157(262) 284-8209 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 7, 2023, Dec 1, 2021, Mar 10, 2020 and 2 more (5 updates tracked since 2017).

About Samantha Gregory Dagenhardt Rn, Ms, Msn, Pmhcns- NPPES

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

SAMANTHA GREGORY DAGENHARDT RN, MS, MSN, PMHCNS- (NPI 1659642841) is an individual psychiatric/mental health provider in Port Washington, Wisconsin, licensed in Wisconsin (4747-33) and active in the NPI registry since January 2012. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and maintains a secondary practice location in Wauwatosa.

NPPES Registry Identity

NPI1659642841
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameSAMANTHA GREGORY DAGENHARDTCredential: RN, MS, MSN, PMHCNS-
Location Address121 W MAIN STPort Washington, WI 53074-1813
Mailing Address121 W Main StPort Washington, WI 53074-1813 · (262) 284-8200 · Fax (262) 284-8103
Fax(262) 284-8209
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJanuary 19, 2012
Last NPPES UpdateMarch 7, 20235 updates tracked since enumeration
NPPES CertifiedDecember 1, 2021
NPI 1659642841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in WI · 4747-33
Also ListedNurse PractitionerTaxonomy 363L00000X · License 4747-33 (WI)
121 W MAIN ST, Port Washington, WI 53074

Secondary Practice Location 1

Location 11220 Dewey AveWauwatosa, WI 53213-2504 · Phone (414) 454-6566 · Fax (414) 454-6522

Other Identifiers 4

Other170792-30WI · Rn
Other4747-33WI · Apnp
Medicaid1659642841WI
Medicaid100028338WI

Accepted 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 Gregory Dagenhardt Rn, Ms, Msn, Pmhcns- 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 ID8527383900
PECOS Enrollment IDI20150407000155
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.

Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
192 services71 patients
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.
131 services67 patients

Hospital Affiliations CMS Care Compare

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520051
Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53074 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
$82.92 typical visit price
range $53.90 – $163.24
Typical copayment $20.73 (range $13.47 – $40.81)
Most-billed visit code 99203
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

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.

Social Worker
121 W MAIN ST
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Social Worker
121 W MAIN ST
PORT WASHINGTON, WI 53074
Counselor (Professional)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Counselor (Mental Health)
121 W MAIN ST
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
121 W MAIN ST, SUITE 350
PORT WASHINGTON, WI 53074
Counselor
121 W MAIN ST
PORT WASHINGTON, WI 53074
Social Worker (Clinical)
121 W MAIN ST, #350
PORT WASHINGTON, WI 53074

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 Dagenhardt's NPI number?

The NPI number for Samantha Dagenhardt is 1659642841. It was assigned to this individual provider in the NPPES registry on January 19, 2012.

Where is Samantha Dagenhardt located?

Samantha Dagenhardt practices at 121 W Main St, Port Washington, WI 53074. The listed phone number is (262) 284-8157.

What is Samantha Dagenhardt's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Samantha Dagenhardt enrolled in Medicare?

Yes. Samantha Dagenhardt 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 Dagenhardt accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Medica and Network Health and 3 other insurers list Samantha Dagenhardt 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 Samantha Dagenhardt affiliated with any hospitals?

According to CMS data, Samantha Dagenhardt is affiliated with Ascension Columbia St Mary's Hospital Milwaukee.

When was this NPI record last updated?

The NPPES record for Samantha Dagenhardt was last updated on March 7, 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.