Individual provider Active NPI

Anna Marie Samons, NP-C

  • Family Nurse Practitioner
  • Omaha, NE
National Provider Identifier
1568016368
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RNP230161 Issued in AZ
Practice address
2525 S 135TH Ave
Omaha, NE 68144-2424
Phone
(702) 899-0595
Fax
(702) 977-1496
NPI assigned
Jul 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RNP230161 AZ Primary

Addresses

Primary practice location

2525 S 135TH Ave
Omaha, NE 68144-2424

Mailing address

PO Box 74008272
Chicago, IL 60674-8272
Phone (702) 899-0595

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20191107001568 AZ Practitioner - Nurse Practitioner 3678905924 Reassigns benefits to 1 organization
I20231206001968 NE Practitioner - Nurse Practitioner 3678905924 Reassigns benefits to 2 organizations

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
Integrated Rehab Consultants LLCGroup PAC ID 7810184892, 162 clinicians

Practice addresses (Care Compare)

1540 N 72ND St
Omaha, NE 68114-1924
Phone (833) 476-7377

Merit-based Incentive Payment System (MIPS)

Final score
84.06 of 100Reported as group
Quality
68.27
Promoting interoperability
100
Improvement activities
40
Cost
78.59

Merit-based Incentive Payment System (MIPS)

Final score
89.37 of 100Reported as group
Quality
78.22
Promoting interoperability
97
Improvement activities
40
Cost
72.57

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RNP230161AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeside Orthopedic Institute LLC Current Accepting new patients
Kingman Healthcare, Inc CurrentSince Nov 1, 2019 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 1, 2025 Accepting new patients
Integrated Rehab Consultants LLC CurrentSince Jan 1, 2025 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Lakeside Orthopedic Institute LLC CurrentSince Nov 10, 2022 Accepting new patients
Kingman Healthcare, Inc Family CurrentSince Nov 1, 2019 Accepting new patients
Midwest Pain Clinic PC Family CurrentSince Dec 11, 2023 Accepting new patients
Lakeside Orthopedic Institute LLC CurrentSince Nov 10, 2022 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

3801 Santa Rosa Dr
Kingman, AZ 86401
Phone (928) 263-5000

25 Riviera Blvd
Lk Havasu Cty, AZ 86403
Phone (928) 505-7246

1720 Mesquite Ave
Ste 100
Lk Havasu Cty, AZ 86403
Phone (928) 855-1550

1700 Furnas St
Ashland, NE 68003
Phone (402) 758-5800

2206 Longo Dr
Ste 201
Bellevue, NE 68005
Phone (402) 292-0114

4508 38th St
Ste 210
Columbus, NE 68601
Phone (402) 488-6969

700 S Highway 6
Gretna, NE 68028
Phone (402) 332-3446

4735 S 54th St
Lincoln, NE 68516
Phone (402) 488-0977

4405 Normal Blvd
Lincoln, NE 68506
Phone (402) 488-2355

2525 S 135th Ave
Omaha, NE 68144
Phone (402) 333-2304

1540 N 72nd St
Omaha, NE 68114
Phone (402) 393-8693

7915 N 30th St
Omaha, NE 68112
Phone (402) 827-6000

7410 Mercy Rd
Omaha, NE 68124
Phone (402) 397-1220

910 S 40th St
Omaha, NE 68105
Phone (402) 342-2015

825 N 90th St
Omaha, NE 68114
Phone (402) 391-7246

3110 Scott Cir
Omaha, NE 68112
Phone (402) 455-6636

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGBJBD
  • FHIR API: https://api.platform.athenahealth.com/8703/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1564444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759363200000",
    "number": "1568016368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 74008272",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606748272",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 S 135TH AVE",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442424",
            "telephone_number": "702-899-0595",
            "fax_number": "702-977-1496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMONS",
        "first_name": "ANNA",
        "middle_name": "MARIE",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-30",
        "last_updated": "2025-10-02",
        "certification_date": "2025-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "RNP230161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Omaha, NE

Sources for this page

Verify at the official NPI Registry.