Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS

Individual provider Nurse Practitioner · NPI 1659642841

Samantha Gregory Dagenhardt, RN, MS, MSN, PMHCNS is a Nurse Practitioner in Port Washington, Wisconsin. Qualified in 2011, 15 years ago. Practices with County of Ozaukee, a 5-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
15
Licensed in
WI
In the registry since
2012
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.
MS — Master of Science
A graduate science degree.
MSN — Master of Science in Nursing
A graduate nursing degree, usually held alongside an advanced practice licence.

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Practice location Address checks out

121 W Main St
Port Washington, WI 53074-1813
Phone: (262) 284-8157
Fax: (262) 284-8209
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1220 Dewey Ave, Wauwatosa, WI 53213-2504 — (414) 454-6566

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 4747-33 (WI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4747-33 (WI)

Record details

NPI number1659642841
Entity typeIndividual (Type 1)
GenderFemale
Credentials RN , MS , MSN , PMHCNS
Sole proprietorNo
NPI enumeratedJanuary 19, 2012
Last updated in NPPESMarch 7, 2023
Certification dateDecember 1, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice County Of Ozaukee — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Port Washington