Active NPI
Samantha Lyn Nice, APRN
- Family Nurse Practitioner
- Lincoln, NE
National Provider Identifier
1497424071
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 113594
- Practice address
- 4545 R St Ste 100
Lincoln, NE 68503-3799 - Phone
- (402) 465-4545
- Fax
- (402) 465-9011
- NPI assigned
- Sep 8, 2021
- Last updated
- Nov 29, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 113594 | NE | Primary |
Addresses
Primary practice location
4545 R St Ste 100
Lincoln, NE 68503-3799
Mailing address
4545 R St Ste 100
Lincoln, NE 68503-3799
Phone (402) 465-4545
Other names 1
- Samantha Lyn Kaup
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4545 R St
Suite 100
Lincoln, NE 68503-3799
Phone (402) 465-4545
Hospital & facility affiliations
- The Nebraska Medical Center
- Bryan Medical Center
- CHI Health St. Elizabeth
- Grand Island Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Specialties, P.C. | Current | Accepting new patients | |
| Lincoln Digestive Health Center LLC | Past | Accepting new patients |
Locations
4545 R St
Ste 100
Lincoln, NE 68503
Phone (402) 465-4545
Interoperability endpoints
- https://498f20c3-8d5e-4c38-b37b-2e5c29e690f9.gastro.prod.fhir.ema-api.com/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Lincoln, NE
- NPI 1083747380
-
- Ambulatory Surgical Clinic/Center
- Lincoln, NE
- NPI 1548710775
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1528006103
-
dba Bryan Medical Center Laboratory
- Clinical Medical Laboratory
- Lincoln, NE
- NPI 1689203077
Hospital
-
- General Acute Care Hospital
- Grand Island, NE
- NPI 1558910604
-
dba CHI Health St. Elizabeth
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
-
dba The Nebraska Medical Center - Nebraska Medicine
- General Acute Care Hospital
- Omaha, NE
- NPI 1356307581
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1631059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701216000000",
"number": "1497424071",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4545 R ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033799",
"telephone_number": "402-465-4545",
"fax_number": "402-465-9011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4545 R ST STE 100",
"city": "LINCOLN",
"state": "NE",
"postal_code": "685033799",
"telephone_number": "402-465-4545",
"fax_number": "402-465-9011"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICE",
"first_name": "SAMANTHA",
"middle_name": "LYN",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-08",
"last_updated": "2023-11-29",
"certification_date": "2023-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "113594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "KAUP",
"middle_name": "LYN",
"credential": "APRN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Lincoln, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.