Individual provider Active NPI

Samantha K Simpson

  • Family Nurse Practitioner
  • Nevada, MO
National Provider Identifier
1407417165
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
78806 Issued in KS
Practice address
900 S Adams St
Nevada, MO 64772-3210
Phone
(417) 667-6015
Fax
(417) 448-8970
NPI assigned
Jun 24, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2023009277 MO
Family Nurse Practitioner 363LF0000X 78806 KS Primary

Addresses

Primary practice location

900 S Adams St
Nevada, MO 64772-3210

Mailing address

800 S Ash St
Nevada, MO 64772-3224
Phone (417) 667-3355

Other practice location 1

800 S Ash St
Nevada, MO 64772-3224
Phone (417) 667-3355

Other practice location 2

345 S Barrett Ln
Nevada, MO 64772-4255
Phone (417) 448-2439

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20230420000161 MO Practitioner - Nurse Practitioner 3274869227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nevada City HospitalGroup PAC ID 9830095280, 87 clinicians

Practice addresses (Care Compare)

800 S Ash St
Nevada, MO 64772-3223
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772-3224

Hospital & facility affiliations

  • Nevada Regional Medical Center Hospital, Nevada, MO, CCN 260061
  • Cedar County Memorial Hospital Hospital, El Dorado Springs, MO, CCN 261323

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
78806KSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Nevada City Hospital CurrentSince Apr 17, 2023 Accepting new patients
Nevada City Hospital CurrentSince Apr 17, 2023 Accepting new patients
Nevada City Hospital PastSince May 1, 2023 Accepting new patients

Locations

900 S Adams St
Nevada, MO 64772
Phone (417) 667-3355

800 S Ash St
Nevada, MO 64772
Phone (417) 667-3355

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1561334400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1407417165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 S ASH ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723224",
            "telephone_number": "417-667-3355",
            "fax_number": "417-549-6112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 S ADAMS ST",
            "city": "NEVADA",
            "state": "MO",
            "postal_code": "647723210",
            "telephone_number": "417-667-6015",
            "fax_number": "417-448-8970"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 S Ash St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647723224",
            "country_code": "US",
            "telephone_number": "417-667-3355",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "345 S Barrett Ln",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "MO",
            "postal_code": "647724255",
            "country_code": "US",
            "telephone_number": "417-448-2439",
            "fax_number": "417-549-6112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIMPSON",
        "first_name": "SAMANTHA",
        "middle_name": "K",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2023009277",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KS",
            "license": "78806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nevada, MO

Sources for this page

Verify at the official NPI Registry.