NPIMap

Individual provider Active NPI

Samantha Sholes, MD

  • Family Medicine Physician
  • Omaha, NE
National Provider Identifier
1457889792
Registry record updated May 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7928 Issued in NE
Practice address
Unmc Division of General Internal Medicine
986430 Nebraska Medical Center
Omaha, NE 68198-6430
Phone
(402) 559-7502
NPI assigned
May 31, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7928 NE Primary

Addresses

Primary practice location

Unmc Division of General Internal Medicine
986430 Nebraska Medical Center
Omaha, NE 68198-6430

Mailing address

Unmc Division of General Internal Medicine
986430 Nebraska Medical Center
Omaha, NE 68198-6430

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201013003456 NE Practitioner - Family Practice 6709150980 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Holt Memorial HospitalGroup PAC ID 2264419878, 8 clinicians

Practice addresses (Care Compare)

405 W Pearl St
West Holt Medical Clinic
Atkinson, NE 68713-4882
Phone (402) 925-2631

Hospital & facility affiliations

  • Avera at Home Dba Avera@Home Home health agency, O' Neill, NE, CCN 287071
  • Aseracare Hospice Hospice, Norfolk, NE, CCN 281538
  • West Holt Memorial Hospital Hospital, Atkinson, NE, CCN 281343
  • Faith Health Hospital, Norfolk, NE, CCN 280125
  • Avera St Anthony'S Hospital Hospital, O' Neill, NE, CCN 281329
  • Good Samaritan Society - Atkinson Nursing home, Atkinson, NE, CCN 285177

Merit-based Incentive Payment System (MIPS)

Final score
95.27 of 100Reported as apm
Quality
85.98
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7928NEMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
West Holt Memorial Hospital CurrentSince Sep 1, 2020 Accepting new patients
West Holt Memorial Hospital Current Accepting new patients
The Evangelical Lutheran Good Samaritan Society Past Accepting new patients

Locations

405 W Pearl St
Atkinson, NE 68713
Phone (402) 925-2631

406 W Neely St
Atkinson, NE 68713
Phone (402) 925-2811

405 W Pearl St
Ste 458
Atkinson, NE 68713

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/wstholt-d1685583

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1496188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1496188800000",
    "number": "1457889792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNMC DIVISION OF GENERAL INTERNAL MEDICINE",
            "address_2": "986430 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681986430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNMC DIVISION OF GENERAL INTERNAL MEDICINE",
            "address_2": "986430 NEBRASKA MEDICAL CENTER",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681986430",
            "telephone_number": "402-559-7502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHOLES",
        "first_name": "SAMANTHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-31",
        "last_updated": "2017-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "7928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.