Lindsey Leann Sample, MSN, AG-ACNP
NPI 1114588076ActiveIndividual· Nurse Practitioner· Valparaiso, IN
Nurse Practitioner (MSN, AG-ACNP) with Emergency Professionals of Indiana PC, practicing in Valparaiso, Indiana. 119 Medicare patients in 2024, $15,323 paid; nearly all of their 80 Part D prescriptions were generic (90%). Lists Kosciusko Community Hospital as a hospital affiliation.
Overview
| NPI | 1114588076 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSN, AG-ACNP |
| Sole proprietor | No |
| NPI issued | Jun 21, 2019 |
| Last updated in NPPES | Sep 29, 2020 |
| Certified by provider | Sep 29, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | 71009567A | IN |
| Registered Nurse | 163W00000X | 041437122 | IL |
| Registered Nurse | 163W00000X | 28215273A | IN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (IL); Practitioner - Nurse Practitioner (IN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 159 across 7 procedure codes |
| Paid by Medicare | $15,323 |
Part D prescriptions in 2024
| Prescriptions (claims) | 80 · 84 30-day fills |
|---|---|
| Patients | 41 |
| Total drug cost | $3,298 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Emergency Professionals of Indiana PCFort Wayne, IN · 119 clinicians
Hospital affiliation
- Kosciusko Community HospitalWarsaw, IN
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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