Peter Samoei, CNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

2020042260 Issued in MO

Practice address

810 E Walnut St
Independence, MO 64050-4025

Phone

(816) 621-5821

NPI assigned

Dec 23, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

19.35 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

64.51

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Practitioner, Nurse Practitioner

Practice roles

Locations

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.

• Theoria Medical

  • Internal Medicine Physician
  • Novi, MI
  • NPI 1609362375

  MO

  Medicare reassignment NPD
• Complete Health Care Services PA

  • Geriatric Medicine (Family Medicine) Physician
  • Leawood, KS
  • NPI 1427350248

  MO

  Medicare reassignment

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

{
    "created_epoch": "1608681600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608681600000",
    "number": "1487241527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 S JACKSON DR APT 205",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640571997",
            "telephone_number": "816-621-5821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E WALNUT ST",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640504025",
            "telephone_number": "816-621-5821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMOEI",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-23",
        "last_updated": "2020-12-23",
        "certification_date": "2020-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "MO",
            "license": "2020042260",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MO",
            "license": "2020042260",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "psamoei@redwoodpan.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "810 E Walnut St",
            "city": "Independence",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640504025",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mildred Lee Salkind, APRN
• Leslie Ann Salm, D.C.
• Catherine F Salmon, MS, LPC
• Joseph A Salvato Jr., MS LPC
• Sam's Club Optical (Sam's Club Optical 30-8293)
• Sams East Inc (Sams Pharmacy 10-8293)
• Mandy M Sander-Prather, MD
• David Lee Sanders, D.C.
• Kelly Sanders, LCPC
• Norya Sanders

• Gerontology Nurse Practitioner in Independence, MO
• Providers in Independence, MO by specialty
• Gerontology Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2020; 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.