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DENISE CATHERINE SAMPLE MSN, APN, FNP-BC
NPI 1801723804
Nurse Practitioner in Mchenry, IL

Active since May 05, 2026PECOS EnrolledAccepts Medicare Assignment
4305 W MEDICAL CENTER DR STE 1, MCHENRY, IL 60050(847) 535-7058(847) 535-7023 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2026, May 7, 2026 (2 updates tracked since 2026).

About Denise Catherine Sample Msn, Apn, Fnp-bc NPPES

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

DENISE CATHERINE SAMPLE MSN, APN, FNP-BC (NPI 1801723804) is an individual nurse practitioner in Mchenry, Illinois, licensed in Illinois (209.035555) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1801723804
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameDENISE CATHERINE SAMPLECredential: MSN, APN, FNP-BC
Location Address4305 W MEDICAL CENTER DR STE 1Mchenry, IL 60050-8425
Mailing Address4305 W Medical Center Dr Ste 1Mchenry, IL 60050-8425 · (847) 535-7058 · Fax (847) 535-7023
Phone(847) 535-7058
Fax(847) 535-7023
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateMay 5, 2026
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1801723804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in IL · 209.035555
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License 041.276148 (IL)
4305 W MEDICAL CENTER DR STE 1, Mchenry, IL 60050
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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

Denise Catherine Sample Msn, Apn, Fnp-bc 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 ID9436622644
PECOS Enrollment IDI20260629000191
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.

Medicare Billing Reassignment

Medicare enrollment records show Denise Sample reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Northwestern Medical Faculty Foundation
19 mi
Multi-Specialty
DEPT 5777
Carol Stream, IL 60122
  • Reassigned Medicare billing, Illinois enrollment
  • 4,817 clinicians in this Medicare group
NPI 1346235314 (855) 694-2866

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60050 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANDREA S. GOOD NURSE PRACTITIONER
Nurse Practitioner
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
PAUL F ONEILL M.D.
Internal Medicine (Hematology & Oncology)
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
MS. KATHRYN L BARNEY FNP-BC
Nurse Practitioner
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
DR. BRUCE GERSHENHORN DO
Internal Medicine (Hematology & Oncology)
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
BEVERLY A JAKIC APRN, CNP
Nurse Practitioner
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
DR. VICTOR MANUEL MEDINA D.O.
Internal Medicine (Hematology & Oncology)
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
KATHRYN YAGUNIC AGNP-BC
Nurse Practitioner
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100
MS. CHERIE L FIEDLER APRN, FNP-BC
Nurse Practitioner
4305 W MEDICAL CENTER DR STE 1
MCHENRY, IL 60050
McHenry County (815) 759-8100

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 Denise Sample's NPI number?

The NPI number for Denise Sample is 1801723804. It was assigned to this individual provider in the NPPES registry on May 5, 2026.

Where is Denise Sample located?

Denise Sample practices at 4305 W Medical Center Dr Ste 1, Mchenry, IL 60050. The listed phone number is (847) 535-7058.

What is Denise Sample's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Denise Sample enrolled in Medicare?

Yes. Denise Sample 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 organization bills Medicare for Denise Sample's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Denise Sample reassigns Medicare benefits to Northwestern Medical Faculty Foundation (Carol Stream, IL). The 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 Denise Sample's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Denise Sample was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.