Active NPI
Samantha Acacia Janssen, MD
- Obstetrics & Gynecology Physician
- Lee's Summit, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 04-51417
- Practice address
- 20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001 - Phone
- (816) 282-7809
- NPI assigned
- Mar 29, 2021
- Last updated
- Mar 11, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 2025029505 | MO | |
| Obstetrics & Gynecology Physician | 207V00000X | 04-51417 | KS | Primary |
Addresses
Primary practice location
20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Mailing address
20 NE Saint Lukes Blvd Ste 310
Lees Summit, MO 64086-6001
Phone (816) 282-7809
Other practice location 1
5701 W 119th St Ste 225
Overland Park, KS 66209-3721
Phone (913) 601-4020
Other names 1
- Samantha Acacia Rios
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | N/A | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 NE Saint Lukes Blvd
310 Rockhill Women's Care
Lees Summit, MO 64086-6001
Phone (816) 282-7809
5701 W 119TH St
225 Menorah
Overland Park, KS 66209-3721
Phone (913) 601-4020
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2025029505 | MO | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rockhill Women's Care, Inc | Single Specialty | Current | Accepting new patients |
Locations
5701 W 119th St
Ste 225
Overland Park, KS 66209
Phone (913) 469-0550
20 NE Saint Lukes Blvd
Ste 310
Lees Summit, MO 64086
Phone (816) 282-7809
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JIGBCA/Endpoint/JIGBCA
- srios411248@direct.saint-lukes.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1616976000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773187200000",
"number": "1003493594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 NE SAINT LUKES BLVD STE 310",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866001",
"telephone_number": "816-282-7809",
"fax_number": "816-282-7870"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 NE SAINT LUKES BLVD STE 310",
"city": "LEES SUMMIT",
"state": "MO",
"postal_code": "640866001",
"telephone_number": "816-282-7809"
}
],
"practiceLocations": [
{
"address_1": "5701 W 119th St Ste 225",
"address_purpose": "LOCATION",
"city": "Overland Park",
"state": "KS",
"postal_code": "662093721",
"country_code": "US",
"telephone_number": "913-601-4020",
"fax_number": "913-601-4022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JANSSEN",
"first_name": "SAMANTHA",
"middle_name": "ACACIA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-29",
"last_updated": "2026-03-11",
"certification_date": "2026-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "MO",
"license": "2025029505",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "KS",
"license": "04-51417",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "N/A",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "20 NE Saint Lukes Blvd Ste 310",
"city": "Lees Summit",
"state": "MO",
"country_code": "US",
"postal_code": "640866001",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "RIOS",
"middle_name": "ACACIA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Lee's Summit, MO
- Jamie L. Thurman-Taylor, D.D.S., LLC
- Jana Home Care LLC (Bethel Home Care)
- Cindy Gay Janczewski, MA, PLPC
- Janet Laws Counseling, LLC (Pinnacle Counseling Coaching and Consulting)
- Ronald R. Janssen, D.O.
- Javinchis Angels, LLC
- Jay Hatfield Mobility LLC
- Jefferson Health Care Inc (Jefferson Health Care)
- Molly K Jeffus, FNP
- Brittnay Jenkins-Harris, DNP, APRN, CNM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.