NPPES file of Aug 9, 2026

Samantha Jo Roach, FNP-C

Family Nurse Practitioner · Canton, IL

Samantha Jo Roach, FNP-C is a family nurse practitioner with a practice address in Canton, Illinois, and NPI 1629940465, issued on Sep 22, 2025. Check the license (Illinois 209033247, as entered in NPPES) with the Illinois board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.

Record from CMS NPPES, file of Aug 9, 2026 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1629940465
Name
Samantha Jo Roach
Credential
FNP-C
Primary taxonomy
Family Nurse Practitioner 363LF0000X
License number
209033247 IL
Self-reported in NPPES; status is on the state search
Practice location
210 W Walnut St, Canton, IL 61520
Phone
(309) 647-5240
Enumerated
Sep 22, 2025
Record last updated
Sep 22, 2025
Medicare enrollment
Enrolled (PECOS I20260310003801); may accept Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 210 W Walnut St

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Andrew Bryant, PA-CPhysician Assistant1750753455
  2. Ronald Champagne, M.D.Anatomic Pathology & Clinical Pathology Physician1306884622
  3. David Dean, M.D.Emergency Medicine Physician1477717247
  4. Gerri Delost, CRNACertified Registered Nurse Anesthetist1053480707
  5. Ryan Deushane, CRNACertified Registered Nurse Anesthetist1124482252
  6. Jenna Dively, FNP-CFamily Nurse Practitioner1508747387

Verify Samantha Jo Roach in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this profession
    Search for license 209033247
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Samantha Jo Roach among 7,639 family nurse practitioner records in Illinois

Samantha Jo Roach, FNP-C is one of 7,639 family nurse practitioner records with a practice address in Illinois. 78% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does not. Its NPI, issued in 2025, is newer than 91% of them.

  • NPI issued2025 · 91% of these records are older, 3% newer
  • In a Medicare fileNo · 78% of these records are
  • In the CMS Doctors and Clinicians fileYes · 63% of these records are
  • Graduated2025 · median 2018 among the 4,778 with a school on file
  • Record last updated2025 · 39% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363LF0000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

14 family nurse practitioner records list a practice address in Canton

They are 14 of the 197 NPPES records with a practice address in Canton, and 7,639 family nurse practitioner records in Illinois. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.

The 8 family nurse practitioner records with the nearest ZIP codes

  1. Dawn Cousins, APNCanton, IL 615201629420229
  2. Jenna Dively, FNP-CCanton, IL 615201508747387
  3. Lacey McMahill, APNCanton, IL 615201851891071
  4. Elise Mefford, FNPCanton, IL 615201396144499
  5. Brittany Miller, APRN FNP-CCanton, IL 615201619375532
  6. Melanie Miller, APNCanton, IL 615201629724901
  7. Carley PromissonCanton, IL 615201346016060
  8. Courtney Reynolds, APNCanton, IL 615201720775919

Common questions

What is Samantha Jo Roach, FNP-C's NPI number?

Samantha Jo Roach, FNP-C's National Provider Identifier (NPI) is 1629940465, issued on Sep 22, 2025. An NPI identifies a provider in billing; it is not a license.

Where is Samantha Jo Roach, FNP-C located?

The NPPES record lists a practice address at 210 W Walnut St, Canton, IL, 61520. Phone: (309) 647-5240. Providers update this record themselves, so call before visiting.

How can I verify Samantha Jo Roach, FNP-C's license?

NPPES lists Illinois license number 209033247, as entered by the provider. Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.