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

Samantha Diane Daugherty, FNP is a medicare enrolled "Nurse Practitioner" in Fargo, North Dakota. She graduated from nursing school in 2020 and has 5 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

Map and Direction

Provider's Profile

Full Name	Samantha Diane Daugherty
Gender	Female
Speciality	Nurse Practitioner
Experience	5 Years
Location	5225 23rd Ave S, Fargo, North Dakota
Accepts Medicare Assignments	Yes. 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.

Identifier	Type	State	Issuer
1184227068	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
163WM0705X	Registered Nurse - Medical-surgical	95063542 (California)	Secondary
163WM0705X	Registered Nurse - Medical-surgical	R042508 (South Dakota)	Secondary
363LF0000X	Nurse Practitioner - Family	R49889 (North Dakota)	Secondary
363L00000X	Nurse Practitioner	R49889 (North Dakota)	Primary

Medical Facilities Affiliation

Facility Name	Location	Facility Type
Sanford Usd Medical Center	Sioux falls, SD	Hospital

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Sanford Medical Center	8325950215	750

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 Name	Sanford Clinic
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1396764254 PECOS PAC ID: 0244143824 Enrollment ID: O20031110000532

Entity Name	Sanford Medical Center
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1093090342 PECOS PAC ID: 8325950215 Enrollment ID: O20040115000388

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 Address	Practice 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

Reviews and Comments

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: Accepting Medicare Assignments 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
Jessica Smolen, NP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 321 8th Ave N, Fargo, ND 58102 Phone: 701-234-2525
Tonya M Otto, APRN,CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4110 51st Ave S, Fargo, ND 58104 Phone: 701-364-3100
Mary Omer Habib, APRN, CNP Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 4622 40th Ave S Ste A, Fargo, ND 58104 Phone: 218-364-8900
Mr. Nicholas Henry Frederiksen, APRN,CNP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3000 32nd Ave S, Fargo, ND 58103 Phone: 701-364-8000 Fax: 701-364-8078

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