Samantha Walters

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

A167145 Issued in IA

Practice address

800 Oak St
Sheldon, IA 51201-1242

Phone

(712) 324-5356

NPI assigned

Jan 26, 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, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Health Network 357 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sanford Sheldon Medical Center Hospital, Sheldon, IA, CCN 161381

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Curana Health of Iowa PLLC

  • Internal Medicine Physician
  • Osceola, IA
  • NPI 1730773714

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Multi-Specialty Clinic/Center
  • Lake Park, IA
  • NPI 1134787930

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623

  IA

  Medicare reassignment NPD
• Sanford Health Network

  • Family Medicine Physician
  • Sheldon, IA
  • NPI 1831281047
  NPD
• Sanford Health Network

  • Rural Health Clinic/Center
  • Mountain Lake, MN
  • NPI 1568469039
  NPD
• Sanford Health Network

  • Family Medicine Physician
  • Boyden, IA
  • NPI 1679726111
  NPD (past)

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

• Sanford Health Network

  • Critical Access Hospital
  • Sheldon, IA
  • NPI 1841200623

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1306599741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5074",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571175074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 OAK ST",
            "city": "SHELDON",
            "state": "IA",
            "postal_code": "512011242",
            "telephone_number": "712-324-5356"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "305 W 3rd St",
            "address_purpose": "LOCATION",
            "city": "Kingsley",
            "state": "IA",
            "postal_code": "510285064",
            "country_code": "US",
            "telephone_number": "712-378-2400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALTERS",
        "first_name": "SAMANTHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-26",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IA",
            "license": "A167145",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A167145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Village Northwest Unlimited
• Village Northwest Unlimited
• Village Northwest Unlimited
• Nicole Voigt
• Nicholas Vust
• Amy Waterman, CNP
• Dennis Lee Weber III, PHARM. D.
• Wheelchair Dynamics, Inc.
• Robert Mouw Wiersma
• Amy L Wingert, M.D.

• All providers in Sheldon, IA
• Family Nurse Practitioner in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.