SAMANTHA GREGORY DAGENHARDT RN, MS, MSN, PMHCNS-
NPI 1659642841
Nurse Practitioner - Psychiatric/Mental Health in Port Washington, WI
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
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 4
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Samantha Dagenhardt reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Port Washington, WI 53074
- Reassigned Medicare billing, Wisconsin enrollment
- 8 clinicians in this Medicare group
Sheboygan, WI 53081
- Reassigned Medicare billing, Wisconsin enrollment
- 4,609 clinicians in this Medicare group
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.
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, WIPhysician 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.
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.
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.
Which organizations bill Medicare for Samantha Dagenhardt's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Dagenhardt reassigns Medicare benefits to 2 organizations: County Of Ozaukee (Port Washington, WI) and Aurora Medical Group, Inc. (Sheboygan, WI). 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 Dagenhardt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Dagenhardt accept?
Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), Dean Health Plan and Network Health and 2 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.
# Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS- · NPI 1659642841
Psychiatric/Mental Health physician in Port Washington, Wisconsin. Individual provider, active in the CMS NPPES registry since January 19, 2012.
## Identity
- **NPI:** 1659642841 (Entity type: Individual)
- **Enumerated:** January 19, 2012
- **Primary specialty:** Nurse Practitioner - Psychiatric/Mental Health · taxonomy 363LP0808X
- **State license:** 4747-33 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 121 W MAIN ST, Port Washington, WI 53074-1813
- **Phone:** (262) 284-8157 · **Fax:** (262) 284-8209
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): County Of Ozaukee (NPI 1740475250, Port Washington, WI); Aurora Medical Group, Inc. (NPI 1174670244, Sheboygan, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** March 7, 2023
- **Other identifiers:** Other 170792-30 (WI); Other 4747-33 (WI); Medicaid 1659642841 (WI); and 1 more
---
Source: [NPI Profile](https://npiprofile.com/npi/1659642841) · Data from the CMS NPPES public registry.