Samantha Jo Sparks, FNP-BC - Medicare Nurse Practitioner in Madison, IN

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Samantha Jo Sparks, FNP-BC is a medicare enrolled "Nurse Practitioner - Family" in Madison, Indiana. She graduated from nursing school in 2021 and has 3 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Community Mental Health Center Inc., Norton - Kings Daughters Health Inc and her current practice location is 1373 E State Road 62, Madison, Indiana. You can reach out to her office (for appointments etc.) via phone at (812) 801-0800.

Samantha Jo Sparks is licensed to practice in Indiana (license number 71011714A) 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 1235893447.

Contact Information

Samantha Jo Sparks, FNP-BC
1373 E State Road 62,
Madison, IN 47250-7328
(812) 801-0800
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Jo Sparks
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location1373 E State Road 62, Madison, 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:
  • Samantha Jo Sparks graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1235893447
  • Provider Enumeration Date: 10/25/2021
  • Last Update Date: 10/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 4789073289
  • Enrollment ID: I20211122001129

Medical Identifiers

Medical identifiers for Samantha Jo Sparks such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1235893447NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163W00000XRegistered Nurse 28213316A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71011714A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Community Mental Health Center Inc.145633016624
Norton - Kings Daughters Health Inc973908931977

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 Jo Sparks allows following entities to bill medicare on her behalf.
Entity NameNorton - Kings Daughters Health Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1114955093
PECOS PAC ID: 9739089319
Enrollment ID: O20040520001611
Entity NameCommunity Mental Health Center Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1588732747
PECOS PAC ID: 1456330166
Enrollment ID: O20040722000158

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 Jo Sparks 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 Jo Sparks, FNP-BC
16601 State Road 250,
Rising Sun, IN 47040-8725

Ph: (812) 621-8624		Samantha Jo Sparks, FNP-BC
1373 E State Road 62,
Madison, IN 47250-7328

Ph: (812) 801-0800

Reviews and Comments


Nurse Practitioner Nurses in Madison, IN

Sara Nicole Thorpe, FNP-C
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 1373 E State Road 62, Madison, IN 47250
Phone: 812-801-0800    
Sandra Smith,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 220 Clifty Dr Ste J, Madison, IN 47250
Phone: 812-274-0713    
Mary Victoria Conners, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 630 Broadway St, Madison, IN 47250
Phone: 812-801-0338    Fax: 812-801-0777
Mandy Corinne Wilson, N.P.
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1373 E State Road 62, Madison, IN 47250
Phone: 812-801-0868    Fax: 812-801-8070
Dana Catherine Weaver,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 711 Green Rd, Madison, IN 47250
Phone: 812-493-3225    
Jamie Leigh Baker, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1373 E Sr 62, Madison, IN 47250
Phone: 812-801-0229    Fax: 812-801-8705
Alicia D Mincher, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1373 E Sr 62, Madison, IN 47250
Phone: 812-801-0800    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.