Mrs Desiree Elizabeth Samples, FNP-BC in Demotte, IN

Mrs Desiree Elizabeth Samples, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Demotte, Indiana. She graduated from nursing school in 2011 and has 15 years of diverse experience with area of expertise as Nurse Practitioner. Her current practice location is 1317 15th St Se, Demotte, Indiana. You can reach out to her office (for appointments etc.) via phone at (219) 270-3358.

Mrs Desiree Elizabeth Samples is licensed to practice in Indiana (license number 71003904A) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1285992297.

Contact Information

	Mrs Desiree Elizabeth Samples, FNP-BC
	1317 15th St Se, Demotte, IN 46310-9393
	(219) 270-3358
	(814) 292-9196

Map and Direction

Provider's Profile

Full Name	Mrs Desiree Elizabeth Samples
Gender	Female
Speciality	Nurse Practitioner
Experience	15 Years
Location	1317 15th St Se, Demotte, Indiana
Accepts Medicare Assignments	May be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.

Medical Education and Training:

Mrs Desiree Elizabeth Samples graduated from nursing school in 2011

NPI Data:

NPI Number: 1285992297
Provider Enumeration Date: 04/26/2012
Last Update Date: 08/18/2025

Medicare PECOS Information:

PECOS PAC ID: 0042458697
Enrollment ID: I20130521000528

Medical Identifiers

Medical identifiers for Mrs Desiree Elizabeth Samples such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1285992297	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
363LF0000X	Nurse Practitioner - Family	28164959A (Indiana)	Secondary
363LF0000X	Nurse Practitioner - Family	71003904A (Indiana)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Franciscan St Anthony Health - Michigan City	Michigan city, IN	Hospital

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 Desiree Elizabeth Samples allows following entities to bill medicare on her behalf.

Entity Name	Franciscan Physician Network
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1225327984 PECOS PAC ID: 3072790682 Enrollment ID: O20110608000486

Entity Name	Signify Health Medical Associates Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1750845863 PECOS PAC ID: 2163764424 Enrollment ID: O20190903001552

Entity Name	Monarch Health & Wellness
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1205570025 PECOS PAC ID: 6406222942 Enrollment ID: O20221025000634

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 Desiree Elizabeth Samples 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 Address	Practice Location Address
Mrs Desiree Elizabeth Samples, FNP-BC 1317 15th St Se, Demotte, IN 46310-9393 Ph: (219) 270-3358	Mrs Desiree Elizabeth Samples, FNP-BC 1317 15th St Se, Demotte, IN 46310-9393 Ph: (219) 270-3358

Reviews and Comments

Nurse Practitioner Nurses in Demotte, IN

Stephany Sipe, NP-C Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Leestma Medical Clinic Inc, 519 N Halleck St, Demotte, IN 46310 Phone: 219-967-7750 Fax: 219-987-5750
Morganne Atteberry, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: Leestma Medical Clinic Inc., 519 N Halleck St., Demotte, IN 46310 Phone: 219-987-7750 Fax: 219-987-5750
Mallory Nichole Matusik, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 519 N Halleck St, Demotte, IN 46310 Phone: 219-987-7750
Helen Anderson, FNPC Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 520 8th Ave Ne, Demotte, IN 46310 Phone: 219-987-3581
Miranda Louise Faris, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11188 N 550 E, Demotte, IN 46310 Phone: 219-964-5312
Mrs. Frances Clark, APRN MSN FNP CS Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 11920 W State Rd 10, Demotte, IN 46310 Phone: 219-345-5151 Fax: 219-345-5252

Mrs Desiree Elizabeth Samples, FNP-BC - Medicare Nurse Practitioner in Demotte, IN