Samantha Gregory Dagenhardt is a Port Washington, Wisconsin based nurse practitioner with 13 years of experience in . She completed her graduation in 2011. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Samantha Gregory Dagenhardt is 4747-33 for Psych/Mental Health in Wisconsin. Her current practice location is 121 W Main St, Port Washington. Patients can reach her at 262-284-8157 or can fax her at 262-284-8209. Samantha Gregory Dagenhardt is RN, MS, MSN, PMHCNS- and her NPI number (Unique professional ID assigned by NPPES) is 1659642841. Samantha Gregory Dagenhardt has completed additional training beyond basic nursing education and provides primary health care services in accordance with state nurse practice laws or statutes. NPs are trained to assess patient needs, order and interpret diagnostic and laboratory tests, diagnose disease, formulate and prescribe medications and treatment plans.
Complete Profile:
Samantha Gregory Dagenhardt speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
Name:
Samantha Gregory Dagenhardt
Specialization:
Nurse Practitioner (NP)
Gender:
Female
Credentials:
RN, MS, MSN, PMHCNS-
Experience:
13+ years
Medical School Attended:
Other
Graduation Year:
2011
Accepts Medicare Assignment:
Yes
Practice Address:
121 W Main St, Port Washington, Wisconsin, 53074-1813
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
8527383900
Enrollment ID:
I20150407000155
NPI Number:
1659642841
NPI Enumeration Date:
19 Jan, 2012
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
NPs can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Samantha Gregory Dagenhardt are as mentioned below.
License Number
Specialization
State
Status
4747-33
Psych/Mental Health
Wisconsin
Primary
4747-33
Nurse Practitioner
Wisconsin
Secondary
Hospital Affiliation:
NPs can be affiliated to many hospitals whom they worked with in the past or are presently working with. One NP can be affiliated to four to five hospitals at a time.
Hospital Name (CCN)
State
Hospital Type
(520051)
Milwaukee, WI
Acute Care Hospital
Group Practice:
Group practices are practice of medicine by a group of NPs who share their premises and other resources. Following list states all the group name
with which Samantha Gregory Dagenhardt is associated with along with the number of members in that group.
Organization Name (Group PAC ID)
Members
Aurora Medical Group, Inc. (6709794258)
2867
County Of Ozaukee (5698737450)
5
Other Medical Identifiers:
Other legacy medical identifiers associated with Samantha Gregory Dagenhardt such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
170792-30
Other
Wisconsin
RN
4747-33
Other
Wisconsin
APNP
1659642841
Medicaid
Wisconsin
100028338
Medicaid
Wisconsin
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Samantha Gregory Dagenhardt 121 W Main St, Port Washington, Wisconsin
Zip:
53074-1813
Phone Number:
262-284-8200
Fax Number:
262-284-8103
Patients can reach Samantha Gregory Dagenhardt at 121 W Main St, Port Washington, Wisconsin or can call to book an appointment on 262-284-8157.
Comments/ Reviews:
Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.