Mrs Lindsey Leann Sample, MSN, AG-ACNP - Medicare Nurse Practitioner in Valparaiso, IN

Mrs Lindsey Leann Sample, MSN, AG-ACNP is a medicare enrolled "Nurse Practitioner" in Valparaiso, Indiana. She graduated from nursing school in 2019 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Porter Physician Services Llc and her current practice location is 1101 Glendale Blvd Ste 103, Valparaiso, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 464-9054.

Mrs Lindsey Leann Sample is licensed to practice in Indiana (license number 71009567A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1114588076.

Contact Information

Mrs Lindsey Leann Sample, MSN, AG-ACNP
1101 Glendale Blvd Ste 103,
Valparaiso, IN 46383-3769
(219) 464-9054
(219) 465-1749



Provider's Profile

Full NameMrs Lindsey Leann Sample
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1101 Glendale Blvd Ste 103, Valparaiso, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Mrs Lindsey Leann Sample graduated from nursing school in 2019
  NPI Data:
  • NPI Number: 1114588076
  • Provider Enumeration Date: 06/21/2019
  • Last Update Date: 09/29/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 7113255142
  • Enrollment ID: I20191205001684

Medical Identifiers

Medical identifiers for Mrs Lindsey Leann Sample such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114588076NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 041437122 (Illinois)Secondary
163W00000XRegistered Nurse 28215273A (Indiana)Secondary
363L00000XNurse Practitioner 71009567A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Porter Physician Services Llc185048240791

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Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Mrs Lindsey Leann Sample allows following entities to bill medicare on her behalf.
Entity NamePorter Physician Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508075680
PECOS PAC ID: 1850482407
Enrollment ID: O20070810000409

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Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Lindsey Leann Sample is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mrs Lindsey Leann Sample, MSN, AG-ACNP
2022 Kelle Dr,
Chesterton, IN 46304-8708

Ph: (219) 364-3616
Mrs Lindsey Leann Sample, MSN, AG-ACNP
1101 Glendale Blvd Ste 103,
Valparaiso, IN 46383-3769

Ph: (219) 464-9054

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Nurse Practitioner Nurses in Valparaiso, IN

Miss Jessica Diehl, APRN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2307 Laporte Ave Ste 8, Valparaiso, IN 46383
Phone: 219-464-7073    Fax: 219-464-7543
Elizabeth Victoria Moerman, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 606 Lincolnway, Valparaiso, IN 46383
Phone: 219-247-4003    Fax: 574-203-9702
Asha Koshy, APN
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Sturdy Rd, Valparaiso, IN 46383
Phone: 219-462-7173    Fax: 219-462-7504
Ms. Chrysanthemum M Davis, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1551 South Sturdy Rd., Valparaiso, IN 46383
Phone: 219-531-0200    Fax: 219-531-0045
Melissa M Dvorscak, NP
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1105 Cumberland Xing, Valparaiso, IN 46383
Phone: 219-763-8112    Fax: 219-764-5380
Frances Denean Laka, NP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1805 Calumet Ave, Valparaiso, IN 46383
Phone: 574-215-1039    
Mrs. Karla Joann Hanson, AGACNP-BC
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 2000 Roosevelt Rd Bldg A, Valparaiso, IN 46383
Phone: 219-263-7240    

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