MR. TOMMY WAYNE SAMPSON CRNA
NPI 1730514993
Nurse Anesthetist, Certified Registered in Elkhart, IN

Active since September 06, 2013Accepts Medicare Assignment
500 N NAPPANEE ST, SUITE 11B, ELKHART, IN 46514(574) 522-9922(574) 522-9926 Get Directions Write a Review

NPPES record last updated: February 3, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Feb 3, 2022, Nov 8, 2021 (2 updates tracked since 2021).

About Mr. Tommy Wayne Sampson Crna NPPES

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

MR. TOMMY WAYNE SAMPSON CRNA (NPI 1730514993) is an individual nurse anesthetist, certified registered in Elkhart, Indiana, licensed in Missouri (2016033441) and active in the NPI registry since September 2013. He is affiliated with Parkland Health Center, maintains a secondary practice location in Farmington, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1730514993
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameMR. TOMMY WAYNE SAMPSONCredential: CRNA
Location Address500 N NAPPANEE ST, SUITE 11BElkhart, IN 46514-1503
Mailing Address500 N Nappanee St, Suite 11bElkhart, IN 46514-1503 · (574) 522-9922 · Fax (574) 522-9926
Fax(574) 522-9926
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateSeptember 6, 2013
Last NPPES UpdateFebruary 3, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2022
NPI 1730514993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses Licensed in MO · 2016033441 Licensed in NE · 101222
Definition

(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.

500 N NAPPANEE ST, Elkhart, IN 46514

Secondary Practice Location 1

Location 11101 W Liberty StFarmington, MO 63640-1921 · Phone (573) 760-8002

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

Mr. Tommy Wayne Sampson Crna 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 ID6406083583
PECOS Enrollment IDI20170418001329

Areas of Expertise CMS Part B claims

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.

Anesthesia for other procedure on large bowel using an endoscope 00811
Anesthesia for an endoscopic procedure on the large bowel ensures comfort and relaxation during the procedure. You'll be given medication to make you drowsy or asleep, eliminating any discomfort. The medication can be administered through a vein or inhaled.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Parkland Health Center

Acute Care Hospitals · Farmington, MO
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number260163
Location1101 W LibertyFarmington, MO 63640 · St. Francois County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46514 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

Anesthesiology
500 N NAPPANEE ST, SUITE 11B
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
500 N NAPPANEE ST, STE 11-B
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
500 N NAPPANEE ST, SUITE 11-B
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
500 N NAPPANEE ST, SUITE 11B
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
500 N NAPPANEE ST, STE 11B
ELKHART, IN 46514
Social Worker (Clinical)
500 N NAPPANEE ST, SUITE 4A
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
500 N NAPPANEE ST, SUITE 11B
ELKHART, IN 46514
Nurse Anesthetist, Certified Registered
500 N NAPPANEE ST, SUITE 11B
ELKHART, IN 46514

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 Tommy Sampson's NPI number?

The NPI number for Tommy Sampson is 1730514993. It was assigned to this individual provider in the NPPES registry on September 6, 2013.

Where is Tommy Sampson located?

Tommy Sampson practices at 500 N Nappanee St Suite 11B, Elkhart, IN 46514. The listed phone number is (574) 522-9922.

What is Tommy Sampson's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Tommy Sampson enrolled in Medicare?

Yes. Tommy Sampson 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.

Is Tommy Sampson affiliated with any hospitals?

According to CMS data, Tommy Sampson is affiliated with Parkland Health Center.

When was this NPI record last updated?

The NPPES record for Tommy Sampson was last updated on February 3, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.