Individual ProviderSamantha Rose LehmanNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address309 Insurance Dr, Fort Wayne, IN 46825-4252(866) 434-3255(574) 529-1588PECOS EnrollmentBased on the most recent information from CMS, provider Samantha Rose Lehman does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 10:58 AM.Profile DetailsProvider ID1770934903Provider TypeIndividualFull NameLehman, Samantha RoseCredentialNPGenderFemaleSole ProprietorNoEnumeration Date6/29/2016Last Updated11/11/2022Contact InformationPractice LocationPractice Address309 Insurance Dr, Fort Wayne, IN 46825-4252Phone(866) 434-3255Fax(833) 673-0254Mailing LocationMailing Address1913 La Vista Dr, Warsaw, IN 46580-4948Phone(574) 529-1588Fax(574) 335-0741Provider TaxonomiesCodeDescriptionLicenseCode363L00000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense28203792AIndiana