Samantha Heather Bereit
Individual provider Active NPI Psychiatric/Mental Health Nurse Practitioner · Olathe, KS
NPI 1255878740 · NPPES record last updated May 26, 2026
Key facts
- NPI
- 1255878740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner 363LP0808X
- License
- 5377031 (KS)
- Practice address
- 25055 W Valley Pkwy Ste 220
Olathe, KS 66061-8450 - Phone
- (913) 378-1061
- Fax
- (913) 904-1399
- NPI assigned
- Jan 23, 2017
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- University of Kansas School of Med (KC/Wich/Sal), 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Midwest Psychiatric PA
Practice addresses (Care Compare)
5300 W 94TH Ter
Suite 200
Prairie Village, KS 66207-2536
Phone (913) 381-8555
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170519000501 | KS | Practitioner - Nurse Practitioner | 4981971157 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5377031 | KS | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Psychiatric PA | Current |
Accepting new patients | |
| Sunflower Pediatric Behavioral Health, P.a. | Current |
Accepting new patients |
Locations
18401 Von Karman Ave
Ste 500
Irvine, CA 92612
Phone (305) 343-5995
25055 W Valley Pkwy
Ste 220
Olathe, KS 66061
Phone (913) 378-1061
5300 W 94th Ter
Ste 200
Prairie Village, KS 66207
Phone (913) 381-8555
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 5377031 | KS | Yes |
Addresses
Primary practice location
25055 W Valley Pkwy Ste 220
Olathe, KS 66061-8450
Mailing address
25055 W Valley Pkwy Ste 220
Olathe, KS 66061-8450
Phone (913) 378-1061
Other practice location 1
3901 Rainbow Blvd
Mail Stop 2018
Kansas City, KS 66160-8500
Phone (913) 588-9941
Other names
- Samantha Heather Russell
Other providers in Olathe, KS
- Rachel Bennett
- Amy Alyssa Benson
- Brandi Benson
- Jayna Elizabeth Benton
- Matthew Dean Benton
- Leslie Berger
- Katrina Ann Bernard
- Michelle Darleen Bernart
- Gary Dean Bernhardt
- James P. Berrigan
All providers in Olathe, KS · Psychiatric/Mental Health Nurse Practitioner in Kansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.