MRS. LINDSEY LEANN SAMPLE (MSN, AG-ACNP) – Nurse Practitioner, NPI 1114588076
Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for MRS. LINDSEY LEANN SAMPLE (MSN, AG-ACNP)
813 Porter Campus Dr Ste ABC
Valparaiso, IN 463830089
Phone: (219) 464-9054
Fax: (219) 464-9054
Type: Location
3630 Willowcreek Rd
Portage, IN 463685075
Phone: (219) 464-9054
Fax: (219) 465-1749
Type: Location
85 E US Highway 6
Valparaiso, IN 463838947
Phone: (219) 464-9054
Fax: (219) 465-1749
Type: Location
85 E US Highway 6 Ste 235
Valparaiso, IN 463838948
Phone: (219) 464-9054
Fax: (219) 465-1749
Type: Location
85 E US Highway 6 Ste 210
Valparaiso, IN 463838954
Phone: (219) 464-9054
Fax: (219) 465-1749
Type: Location
2022, Kelle Drive, Chesterton, Porter County, Indiana, 46304, United States
CHESTERTON, IN 463048708
Phone: (219) 364-3616
Fax: (219) 364-3610
Type: Mailing
1101 GLENDALE BLVD STE 103
VALPARAISO, IN 463833769
Phone: (219) 464-9054
Fax: (219) 465-1749
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-12-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190828002925 | I | Nurse Practitioner | IL | TBD |
| I20191205001684 | I | Nurse Practitioner | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 30 | $0 |
Insurance plans in this area (ZIP 46383)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, Hospitalist, Internal Medicine | SD | |
| Physician Assistant | IN | |
| Physician Assistant | IN | |
| Nurse Practitioner | IN | |
| Internal Medicine, Hospitalist | IL | |
| Internal Medicine | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN |
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