Samantha Rose Vergara, NP - Medicare Nurse Practitioner in Decatur, IN

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Samantha Rose Vergara, NP is a medicare enrolled "Nurse Practitioner - Family" in Decatur, Indiana. She graduated from nursing school in 2021 and has 5 years of diverse experience with area of expertise as Nurse Practitioner. She is a member of the group practice Adams County Memorial Hospital, Parkview Health System Inc and her current practice location is 1100 Mercer Ave, Decatur, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 724-2145.

Samantha Rose Vergara is licensed to practice in Indiana (license number 71011941A) 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 1033887021.

Contact Information

Samantha Rose Vergara, NP
1100 Mercer Ave,
Decatur, IN 46733-2303
(260) 724-2145
Not Available

Map and Direction




Provider's Profile

Full NameSamantha Rose Vergara
GenderFemale
SpecialityNurse Practitioner
Experience5 Years
Location1100 Mercer Ave, Decatur, 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 Rose Vergara graduated from nursing school in 2021
  NPI Data:
  • NPI Number: 1033887021
  • Provider Enumeration Date: 09/02/2021
  • Last Update Date: 10/15/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 0244621159
  • Enrollment ID: I20220104001933

Medical Identifiers

Medical identifiers for Samantha Rose Vergara such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033887021NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
163WC0200XRegistered Nurse - Critical Care Medicine 28208897A (Indiana)Secondary
363LF0000XNurse Practitioner - Family 71011941A (Indiana)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Adams Memorial HospitalDecatur, INHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Adams County Memorial Hospital094119825376
Parkview Health System Inc21633369671196

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 Rose Vergara allows following entities to bill medicare on her behalf.
Entity NameParkview Health System Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1932130952
PECOS PAC ID: 2163336967
Enrollment ID: O20031117000288
Entity NameAdams County Memorial Hospital
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689696148
PECOS PAC ID: 0941198253
Enrollment ID: O20041001000326

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 Rose Vergara 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 Rose Vergara, NP
1100 Mercer Ave,
Decatur, IN 46733-2303

Ph: (260) 724-2145		Samantha Rose Vergara, NP
1100 Mercer Ave,
Decatur, IN 46733-2303

Ph: (260) 724-2145

Reviews and Comments


Nurse Practitioner Nurses in Decatur, IN

Kaylin Lutter,
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    
Elizabeth Ann Blume, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    
Alicia Kay Bates, NP
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    Fax: 260-724-2145
Debra K Brandenberger, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    
Vera A Cummins, N.P.
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 955 High St, Suite 3, Decatur, IN 46733
Phone: 260-724-2125    Fax: 260-724-3859
Timm M Reed, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    Fax: 260-728-3852
Mary Cole, FNP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 1300 Mercer Ave, Decatur, IN 46733
Phone: 260-724-2145    

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.