Individual provider Active NPI

Samantha M Graber, MD

  • Family Medicine Physician
  • McPherson, KS
National Provider Identifier
1184281644
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-46433 Issued in KS
Practice address
1101 N Main St
McPherson, KS 67460-2845
Phone
(620) 504-5996
Fax
(888) 263-5552
NPI assigned
May 21, 2019
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-46433 KS Primary
Family Medicine Physician 207Q00000X 94-09806 KS

Addresses

Primary practice location

1101 N Main St
McPherson, KS 67460-2845

Mailing address

1101 N Main St
McPherson, KS 67460-2845
Phone (620) 504-5996

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221005003327 KS Practitioner - Family Practice 3971839622 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Kansas School of Med (KC/Wich/Sal), 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chennell Family Wellness LLCGroup PAC ID 6507118460, 2 clinicians

Practice addresses (Care Compare)

1101 N Main St
McPherson, KS 67460-2845
Phone (620) 504-5996

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Chennell Family Wellness, LLC Family Medicine CurrentSince Sep 1, 2022 Accepting new patients
McPherson Hospital, Inc. Past Accepting new patients

Locations

1101 N Main St
McPherson, KS 67460
Phone (620) 241-4477

400 W 1st St
McPherson, KS 67460
Phone (620) 241-5272

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HAJEBD/Endpoint/HAJEBD

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.

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": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1184281644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602845",
            "telephone_number": "620-504-5996",
            "fax_number": "888-263-5552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 N MAIN ST",
            "city": "MCPHERSON",
            "state": "KS",
            "postal_code": "674602845",
            "telephone_number": "620-504-5996",
            "fax_number": "888-263-5552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRABER",
        "first_name": "SAMANTHA",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-21",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-46433",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-09806",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McPherson, KS

Sources for this page

Verify at the official NPI Registry.