MS. SAMANTHA KAY CARNEY (AGPCNP-BC) – Adult Health Nurse Practitioner, NPI 1164985099
Adult Health Nurse Practitioner
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Profile Insights
NPPES metrics only — not quality of care.
8,192 NURSE PRACTITIONER in IN
Provider Addresses for MS. SAMANTHA KAY CARNEY (AGPCNP-BC)
1701 S CREASY LN STE 1W93
LAFAYETTE, IN 479054972
Phone: (765) 502-4015
Type: Location
1910, Michigan Box Company, Detroit, Wayne County, Michigan, 48211, United States
DETROIT, MI 482781076
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
35318 EAGLE WAY
CHICAGO, IL 606781353
Phone: (317) 528-4800
Fax: (317) 865-1479
Type: Mailing
3900 W 203RD ST
OLYMPIA FIELDS, IL 604611183
Phone: (708) 855-7069
Fax: (708) 503-3224
Type: Location
2630 S STATE ROAD 39
FRANKFORT, IN 460417660
Phone: (765) 714-7044
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 82 Open Payments records for all available years, with a total value of $3,910.
Total Amount is formed as General ($3,910) + Research ($0) + Ownership ($0) = $3,910.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($803).
Total Amount
$3,910
General + Research + Ownership
Payments
82
Total payment records
General Amount
$3,910
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $803 |
| E.R. Squibb & Sons, L.L.C. | $607 |
| Janssen Biotech, Inc. | $428 |
| PFIZER INC. | $177 |
| Seagen Inc. | $171 |
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: 2025-01-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20250108002167 | I | Nurse Practitioner | IL | 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 | 311 | 178 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 57 | 45 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 45 | 43 | $0 |
Insurance plans in this area (ZIP 47905)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Radiation Oncology | IL | |
| - | IN | |
| - | IN | |
| - | IL |
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