SAMANTHA JO SPARKS (FNP-BC) – Family Nurse Practitioner, NPI 1235893447
Family Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,191 NURSE PRACTITIONER in IN
Provider Addresses for SAMANTHA JO SPARKS (FNP-BC)
16601 STATE ROAD 250
RISING SUN, IN 470408725
Phone: (812) 621-8624
Type: Mailing
1373 E STATE ROAD 62
MADISON, IN 472507328
Phone: (812) 801-0800
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 23 Open Payments records for all available years, with a total value of $337.
Total Amount is formed as General ($337) + Research ($0) + Ownership ($0) = $337.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: ABBVIE INC. ($242).
Total Amount
$337
General + Research + Ownership
Payments
23
Total payment records
General Amount
$337
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $242 |
| Corium, LLC | $35 |
| Hologic Sales and Service, LLC | $25 |
| IDORSIA PHARMACEUTICALS US INC | $21 |
| Novo Nordisk Inc | $13 |
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: 2021-11-22
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 |
|---|---|---|---|---|
| I20211122001129 | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 47040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Mental Health Counselor | IN | |
| P S Y C H I A T R Y | OH | |
| P S Y C H I A T R Y | OK | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | AZ | |
| Nurse Practitioner | IN | |
| Nurse Practitioner | IN | |
| P S Y C H I A T R Y | IN | |
| Certified Clinical Nurse Specialist (Cns), Nurse Practitioner | OH | |
| Mental Health Counselor | OH |
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