SAMANTHA WILSON CNP
NPI 1851743033
Nurse Practitioner - Family in Elkhart, IN

Q: What is Samantha Wilson's NPI number?

The NPI number for Samantha Wilson is 1851743033. It was assigned to this individual provider in the NPPES registry on July 12, 2016.

Q: What is Samantha Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Samantha Wilson was last updated on January 14, 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.

Active since July 12, 2016PECOS EnrolledAccepts Medicare Assignment

2405 W LEXINGTON AVE, ELKHART, IN 46514(574) 295-8805 Get Directions Write a Review

NPPES record last updated: January 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 14, 2023, Jul 12, 2016 (2 updates tracked since 2016).

On this page

About Samantha Wilson Cnp NPPES

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

SAMANTHA WILSON CNP (NPI 1851743033) is an individual family provider in Elkhart, Indiana, licensed in Indiana (71006376A) and active in the NPI registry since July 2016. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1851743033

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameSAMANTHA WILSONCredential: CNP

Location Address2405 W LEXINGTON AVEElkhart, IN 46514-1417

Mailing Address3245 Health Dr Ste 100Granger, IN 46530-1380 · (574) 647-2129 · Fax (574) 522-0039

Phone(574) 295-8805

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJuly 12, 2016

Last NPPES UpdateJanuary 14, 20232 updates tracked since enumeration

NPPES CertifiedJanuary 14, 2023

✔ NPI 1851743033 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IN · 71006376A

2405 W LEXINGTON AVE, Elkhart, IN 46514

Open in Google Maps ↗

Other Identifiers 1

Medicaid300006929IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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 Wilson Cnp 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 ID3577858505

PECOS Enrollment IDI20160830000301

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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

72 services72 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

48 services48 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.

44 services37 patients

Hospital Affiliations CMS Care Compare

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN

4/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number150018

Location600 E BlvdElkhart, IN 46514 · Elkhart 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

$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.

Other Providers at the Same Location NPPES 15

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

LEAH ROTH MILLER CNM

Advanced Practice Midwife