Individual provider Active NPI

Samantha Lynn Becker, APRN

  • Nurse Practitioner
  • Wichita, KS
National Provider Identifier
1235838566
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
81984 Issued in KS
Practice address
929 N Saint Francis Ave
Wichita, KS 67214-3821
Phone
(316) 268-8050
NPI assigned
Feb 27, 2023
Last updated
Mar 28, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 81984 KS Primary
Acute Care Nurse Practitioner 363LA2100X 53-81984-021 KS
Critical Care Medicine Nurse Practitioner 363LC0200X 53-81984-021 KS
Family Nurse Practitioner 363LF0000X 53-81984-021 KS

Addresses

Primary practice location

929 N Saint Francis Ave
Wichita, KS 67214-3821

Mailing address

348 N Tyler Rd
Wellington, KS 67152-8034
Phone (316) 217-5694

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406002165 KS Practitioner - Nurse Practitioner 8022483940 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Missouri, Kansas City, School of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

761 W 175TH St S
Caldwell, KS 67022-8301
Phone (620) 845-6492

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
81984KSMDNurse Practitioner
53-81984-021KSMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America - Kansas LLC CurrentSince Mar 28, 2023 Accepting new patients
Sumner County Hospital District No 1 CurrentSince Feb 27, 2025 Accepting new patients
Cep America - Kansas LLC Current Accepting new patients
Sumner County Hospital District No 1 CurrentSince Feb 27, 2025 Accepting new patients
Cep America - Kansas LLC CurrentSince Mar 28, 2023 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

761 W 175th St S
Caldwell, KS 67022
Phone (620) 845-6492

3600 E Harry St
Wichita, KS 67218
Phone (316) 268-5426

929 N Saint Francis Ave
Wichita, KS 67214
Phone (316) 291-4396

Organizations & group practices 5

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": "1677456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1235838566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "348 N TYLER RD",
            "city": "WELLINGTON",
            "state": "KS",
            "postal_code": "671528034",
            "telephone_number": "316-217-5694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS AVE",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "316-268-8050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BECKER",
        "first_name": "SAMANTHA",
        "middle_name": "LYNN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-27",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "81984",
            "primary": true
        },
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "KS",
            "license": "53-81984-021",
            "primary": false
        },
        {
            "code": "363LC0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Critical Care Medicine",
            "state": "KS",
            "license": "53-81984-021",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "53-81984-021",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.