Samantha Rose Vergara, NP - Medicare Nurse Practitioner in Fort Wayne, IN

Samantha Rose Vergara, NP is a medicare enrolled "Registered Nurse - Critical Care Medicine" in Fort Wayne, 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 Adams County Memorial Hospital, Parkview Health System Inc and her current practice location is 11141 Parkview Plaza Dr Ste 305, Fort Wayne, Indiana. You can reach out to her office (for appointments etc.) via phone at (260) 266-8900.

Samantha Rose Vergara is licensed to practice in Indiana (license number 28208897A) 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
11141 Parkview Plaza Dr Ste 305,
Fort Wayne, IN 46845-1715
(260) 266-8900
(260) 266-8936

Map and Direction




Provider's Profile

Full NameSamantha Rose Vergara
GenderFemale
SpecialityNurse Practitioner
Experience3 Years
Location11141 Parkview Plaza Dr Ste 305, Fort Wayne, 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: 10/07/2022
  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)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 Hospital094119825369
Parkview Health System Inc21633369671167

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
11109 Parkview Plaza Dr # 117,
Fort Wayne, IN 46845-1701

Ph: (260) 266-8900
Samantha Rose Vergara, NP
11141 Parkview Plaza Dr Ste 305,
Fort Wayne, IN 46845-1715

Ph: (260) 266-8900

Reviews and Comments


Registered Nurse Nurses in Fort Wayne, IN

Mckenna A Gottfried,
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Medicare: Accepting Medicare Assignments
Practice Location: 5693 Ymca Park Dr W, Fort Wayne, IN 46835
Phone: 260-425-6500    
Sharon Worlton, NP
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Medicare: Accepting Medicare Assignments
Practice Location: 11104 Parkview Circle Dr Ste 330, Fort Wayne, IN 46845
Phone: 260-494-3484    Fax: 260-969-0188
Phillip Bassett,
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Medicare: Accepting Medicare Assignments
Practice Location: 11141 Parkview Plaza Dr Ste 310, Fort Wayne, IN 46845
Phone: 260-266-8840    Fax: 260-266-8849
Shannon L Decker,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 11108 Parkview Circle Dr, Fort Wayne, IN 46845
Phone: 260-266-5700    Fax: 260-266-5910
Charles A Jones,
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 11055 Twin Creeks Cv, Fort Wayne, IN 46845
Phone: 260-425-6120    Fax: 260-425-6115
Tammy Moehle,
Registered Nurse
Medicare: Not Enrolled in Medicare
Practice Location: 2121 Lake Ave, Fort Wayne, IN 46805
Phone: 260-426-5431    
Angela J Mcchessney, NP
Registered Nurse
Medicare: Accepting Medicare Assignments
Practice Location: 11104 Parkview Circle Dr Ste 20, Fort Wayne, IN 46845
Phone: 260-425-6940    Fax: 260-425-6949

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.