Samantha Diane Daugherty, FNP - Medicare Nurse Practitioner in Fargo, ND

Samantha Diane Daugherty, FNP is a medicare enrolled "Nurse Practitioner" in Fargo, North Dakota. She graduated from nursing school in 2020 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Sanford Medical Center and her current practice location is 5225 23rd Ave S, Fargo, North Dakota. You can reach out to her office (for appointments etc.) via phone at (701) 417-2575.

Samantha Diane Daugherty is licensed to practice in North Dakota (license number R49889) 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 1184227068.

Contact Information

Samantha Diane Daugherty, FNP
5225 23rd Ave S,
Fargo, ND 58104-7927
(701) 417-2575
Not Available



Provider's Profile

Full NameSamantha Diane Daugherty
GenderFemale
SpecialityNurse Practitioner
Experience4 Years
Location5225 23rd Ave S, Fargo, North Dakota
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:
  • Samantha Diane Daugherty graduated from nursing school in 2020
  NPI Data:
  • NPI Number: 1184227068
  • Provider Enumeration Date: 11/21/2020
  • Last Update Date: 08/06/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3577977768
  • Enrollment ID: I20230710000616

Medical Identifiers

Medical identifiers for Samantha Diane Daugherty such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184227068NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WM0705XRegistered Nurse - Medical-surgical 95063542 (California)Secondary
163WM0705XRegistered Nurse - Medical-surgical R042508 (South Dakota)Secondary
363LF0000XNurse Practitioner - Family R49889 (North Dakota)Secondary
363L00000XNurse Practitioner R49889 (North Dakota)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Sanford Usd Medical CenterSioux falls, SDHospital
Sanford Medical Center FargoFargo, NDHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Sanford Medical Center8325950215707

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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. Samantha Diane Daugherty allows following entities to bill medicare on her behalf.
Entity NameSanford Clinic
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396764254
PECOS PAC ID: 0244143824
Enrollment ID: O20031110000532

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Entity NameSanford Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1821017880
PECOS PAC ID: 8325950215
Enrollment ID: O20040115000388

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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. Samantha Diane Daugherty 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
Samantha Diane Daugherty, FNP
Po Box 5074,
Sioux Falls, SD 57117-5074

Ph: () -
Samantha Diane Daugherty, FNP
5225 23rd Ave S,
Fargo, ND 58104-7927

Ph: (701) 417-2575

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Nurse Practitioner Nurses in Fargo, ND

Wendy M Moore, NURSE PRACTITIONER
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 901 28th St S, Fargo, ND 58103
Phone: 701-404-1100    Fax: 701-540-6498
Mrs. Kayla L. Nelson, DNP, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 301 Np Ave N, Fargo, ND 58102
Phone: 701-271-3344    
Kyrie Marie Severson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4622 40th Ave S, Suite A, Fargo, ND 58104
Phone: 701-364-2909    Fax: 701-364-9822
Sadie Marie Nelson, APRN, CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: Sanford Broadway Clinic, 801 North Broadway, Fargo, ND 58102
Phone: 701-234-2000    
Jessica Smolen, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 321 8th Ave N, Fargo, ND 58102
Phone: 701-234-2525    
Mr. Nicholas Henry Frederiksen, APRN,CNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 3000 32nd Ave S, Fargo, ND 58103
Phone: 701-364-8000    Fax: 701-364-8078
Erin Marie Wilmes Reiniger, APRN, FNP-C
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 4671 38th St S, Fargo, ND 58104
Phone: 701-404-5100    Fax: 701-499-1166

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