SAMANTHA JEAN ALEXANDER – Acute Care Nurse Practitioner, NPI 1174291991

SAMANTHA JEAN ALEXANDER is a healthcare provider. based in Memphis, Indiana. specializing in NURSE PRACTITIONER. They hold a License No. 28213621A (IN). The NPI Number for SAMANTHA JEAN ALEXANDER is 1174291991

Main info

Female
5 Years Of Experience
Accepts Medicare Assignment
Name
SAMANTHA JEAN ALEXANDER
NPI
1174291991
Phone
Not provided
Address
2017 EBENEZER CHURCH RD
Enumeration Date
6 September 2021
Last Update Date
6 September 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8129447701
Graduation Year
2021 (5 years ago)
PAC ID
5698172575
Group Practice PAC ID
4880041409
Professional Enrollment ID
I20210920001552
Address ID
IN471504990NE1850XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:4State licenses:2Digital endpointsOther names

8,192 NURSE PRACTITIONER in IN

Provider Addresses for SAMANTHA JEAN ALEXANDER

  • 2017 EBENEZER CHURCH RD

    MEMPHIS, IN 471439446

    Phone:

    Type: Mailing

  • 1850 STATE ST

    NEW ALBANY, IN 471504990

    Phone: (812) 981-6505

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $70.

Total Amount is formed as General ($70) + Research ($0) + Ownership ($0) = $70.

Last reported payment date: 2024-01-10 • Largest payer in this snapshot: Boston Scientific Corporation ($38).

Total Amount

$70

General + Research + Ownership

Payments

3

Total payment records

General Amount

$70

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-01-10

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2021-09-20

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210920001552INurse PractitionerINTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes5040$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes4342$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes4134$0
99291Critical care, first 30-74 minutes1816$0
99239Hospital discharge day management, more than 30 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 47143)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880041409View full group profile
NameSpecialtyState
Internal MedicineFL
Internal MedicineKY
Hospitalist, Internal Medicine, Internal MedicineIN
Hospitalist, Internal Medicine, Internal MedicineIN
H O S P I T A L I S TOK
Internal MedicineIA
Physician AssistantKY
Physician AssistantIN
Family Practice, HospitalistIL
Internal MedicineFL

Reviews

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Frequently asked questions

How do payers reference SAMANTHA JEAN ALEXANDER?
For SAMANTHA JEAN ALEXANDER, use NPI 1174291991 as the unique 10-digit identifier.
Active or inactive — what applies to SAMANTHA JEAN ALEXANDER?
You should see SAMANTHA JEAN ALEXANDER as active in CMS-hosted NPPES data.
What clinical focus is listed for SAMANTHA JEAN ALEXANDER?
At a glance, SAMANTHA JEAN ALEXANDER is tied to Acute Care Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What practice footprint exists for SAMANTHA JEAN ALEXANDER?
Travel planning: use Memphis, Indiana as the reference point for SAMANTHA JEAN ALEXANDER, then confirm.
Can I trust this NPI listing for SAMANTHA JEAN ALEXANDER?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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