Individual provider Active NPI

Naomi Ann Sampson, MSN, FNP-C

  • Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1124250261
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
111064 Issued in NE
Practice address
601 N 30TH St
Omaha, NE 68131-2137
Phone
(402) 280-5600
Fax
(402) 280-4824
NPI assigned
Aug 21, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 111064 NE Primary

Addresses

Primary practice location

601 N 30TH St
Omaha, NE 68131-2137

Mailing address

601 N 30TH St
Omaha, NE 68131-2137
Phone (402) 280-5600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE
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 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000403 NE Practitioner - Nurse Practitioner 1759427420 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heibel Dermatology Clinic LLCGroup PAC ID 5597733378, 2 clinicians

Practice addresses (Care Compare)

7701 Preserve LN
Lincoln, NE 68516-4473
Phone (402) 488-6969

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

Practice roles

OrganizationSpecialtyStatusNew patients
Heibel Dermatology Clinic LLC CurrentSince Nov 1, 2021 Accepting new patients
Alegent Creighton Clinic Past Accepting new patients
The Express Clinic, LLC Past Accepting new patients

Locations

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

905 2nd St
Friend, NE 68359
Phone (402) 947-2541

7701 Preserve Ln
Lincoln, NE 68516
Phone (402) 488-6969

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1250812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1124250261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-5600",
            "fax_number": "402-280-4824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 N 30TH ST",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681312137",
            "telephone_number": "402-280-5600",
            "fax_number": "402-280-4824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPSON",
        "first_name": "NAOMI",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "MSN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-21",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NE",
            "license": "111064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.