Samantha Payne, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A171761 Issued in IA

Practice address

1208 E Cross St
Centerville, IA 52544-3501

Phone

(641) 856-8651

NPI assigned

Nov 2, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

CH Specialty Services Ia PCGroup PAC ID 2466826102, 130 clinicians

Curana Health of Iowa PLLCGroup PAC ID 9133536113, 152 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care Initiatives Hospice - Cedar Rapids Hospice, Cedar Rapids, IA, CCN 161597
• Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• CH Specialty Services Ia PC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1942909353
  Medicare reassignment Care Compare group NPD
• Curana Health of Iowa PLLC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1730773714
  Medicare reassignment Care Compare group NPD

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

• Care Initiatives

  • Community Based Hospice Care Agency
  • Cedar Rapids, IA
  • NPI 1457517955
  Care Compare affiliation
• Washington County Hospital

  • Critical Access Hospital
  • Washington, IA
  • NPI 1053305326
  Care Compare affiliation
• Washington County Hospital

  • Clinic/Center
  • Washington, IA
  • NPI 1215539952

  Hospital

  Care Compare affiliation
• Washington County Hospital

  • Neurology Physician
  • Washington, IA
  • NPI 1326402355

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1667347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667347200000",
    "number": "1144937772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 PARKWAY DR",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1208 E CROSS ST",
            "city": "CENTERVILLE",
            "state": "IA",
            "postal_code": "525443501",
            "telephone_number": "641-856-8651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SAMANTHA",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-02",
        "last_updated": "2022-11-02",
        "certification_date": "2022-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "A171761",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A171761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Candace Marie Oliver, PHARM.D
• Cassie Parrish, ARNP
• Paula S. Gordy Lisw, LLC
• Paula S. Gordy Lisw, LLC
• Paula S. Gordy Lisw, LLC
• Michelle Margaret Pettengill, BA, CADC
• Cristina Mihaela Petty
• Paul David Poncy, D.O.
• Positive Intervention Pediatric Behavioral Health
• Krista Brooke Pritchard, APRN, FNP-C

• Family Nurse Practitioner in Centerville, IA
• Providers in Centerville, IA by specialty
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2022; 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.

Verify at the official NPI Registry.