Individual provider Active NPI

Samantha J Lewis, CRNP

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1013429513
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
115916 Issued in NE
Practice address
515 N 162ND Ave Ste 203
Omaha, NE 68118-2540
Phone
(402) 354-0621
Fax
(402) 354-7380
NPI assigned
Oct 25, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X CNP251201 ME
Nurse Practitioner 363L00000X SP018545 PA
Dermatology Physician 207N00000X F06171769 NE
Nurse Practitioner 363L00000X 115916 NE Primary
Family Nurse Practitioner 363LF0000X 115916 NE

Addresses

Primary practice location

515 N 162ND Ave Ste 203
Omaha, NE 68118-2540

Mailing address

PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-6820

Other practice location 2

777 Bannock St
Denver, CO 80204-4507
Phone (303) 602-6196

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, NE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200123001122 CO Practitioner - Nurse Practitioner 8325300247 Reassigns benefits to 2 organizations
I20250710000123 NE Practitioner - Nurse Practitioner 8325300247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Clinic IncGroup PAC ID 4880506062, 557 clinicians

Practice addresses (Care Compare)

515 N 162ND Ave
203 Methodist Physicians Clinic Indian
Omaha, NE 68118-2540
Phone (402) 354-7580

Hospital & facility affiliations

  • The Nebraska Methodist Hospital Hospital, Omaha, NE, CCN 280040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06171769NEMDDermatology Physician
SP018545PAMDNurse Practitioner
CNP251201MEMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clearview Dermatology PLLC Dermatology CurrentSince Jun 12, 2022 Accepting new patients
Signify Health Medical Associates of Colorado, PLLC. CurrentSince Dec 22, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Dec 19, 2019 Accepting new patients
Denver Health and Hospital Authority CurrentSince Dec 19, 2019 Accepting new patients
Physicians Clinic Inc Dermatology CurrentSince Jul 31, 2025 Accepting new patients
Signify Health Medical Associates, PLLC Nurse Practitioner CurrentSince Jun 15, 2024 Accepting new patients
Front Range Skincare PLLC PastSince May 1, 2025 Accepting new patients

Locations

14789 W 87th Pkwy
Arvada, CO 80005
Phone (720) 797-9184

7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148

777 Bannock St
Denver, CO 80204

777 Bannock St
Unit 9
Denver, CO 80204
Phone (303) 436-3628

777 Bannock St
#3240
Denver, CO 80204
Phone (303) 602-2714

7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420

32135 Castle Ct
Ste 202
Evergreen, CO 80439
Phone (720) 694-8550

13402 W Coal Mine Ave
Ste 360
Littleton, CO 80127
Phone (720) 797-9184

825 S 169th St
Omaha, NE 68118
Phone (402) 354-3370

10060 Regency Cir
Omaha, NE 68114
Phone (402) 354-1405

515 N 162nd Ave
Ste 203
Omaha, NE 68118
Phone (402) 354-7580

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7424

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789084800000",
    "number": "1013429513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3755",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681030755",
            "telephone_number": "402-354-2100",
            "fax_number": "402-354-2155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 N 162ND AVE STE 203",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681182540",
            "telephone_number": "402-354-0621",
            "fax_number": "402-354-7380"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-6820",
            "fax_number": "717-531-4702",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "777 Bannock St",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802044507",
            "country_code": "US",
            "telephone_number": "303-602-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEWIS",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2026-09-11",
        "certification_date": "2026-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP251201",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP018545",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "F06171769",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "115916",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NE",
            "license": "115916",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.