Individual provider Active NPI

Samantha Jo Boyer

  • Family Medicine Physician
  • Nebraska City, NE
National Provider Identifier
1669976080
Registry record updated Jul 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2383 Issued in NE
Practice address
1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320
Phone
(402) 873-4242
NPI assigned
Mar 20, 2018
Last updated
Jul 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 2383 NE Primary

Addresses

Primary practice location

1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320

Mailing address

1301 Grundman Blvd Ste a
Nebraska City, NE 68410-3320
Phone (402) 873-4242

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713000483 NE Practitioner - Family Practice 8921358268 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
St Marys Community HospitalGroup PAC ID 7113831926, 27 clinicians

Practice addresses (Care Compare)

1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321

1301 Grundman Blvd
Suite a
Nebraska City, NE 68410-3320
Phone (402) 873-4242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2383NEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC Family Medicine CurrentSince Aug 1, 2021 Accepting new patients
St. Mary's Community Hospital Current Accepting new patients
St. Mary's Community Hospital CurrentSince Sep 1, 2021 Accepting new patients
The Physician Network Family Medicine PastSince Sep 1, 2011 Accepting new patients
The Nebraska Medical Center Past Accepting new patients
Nebraska Medical Center Family Medicine Past Accepting new patients

Locations

120 Park Ave
Hebron, NE 68370
Phone (402) 768-6041

8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440

1301 Grundman Blvd
Nebraska City, NE 68410
Phone (402) 713-0110

1301 Grundman Blvd
Ste A
Nebraska City, NE 68410
Phone (402) 873-3321

Interoperability endpoints

  • Direct secure messaging: samanthaboyer@cneb.allscriptsdirect.net

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625616000000",
    "number": "1669976080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 GRUNDMAN BLVD STE A",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103320",
            "telephone_number": "402-873-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 GRUNDMAN BLVD STE A",
            "city": "NEBRASKA CITY",
            "state": "NE",
            "postal_code": "684103320",
            "telephone_number": "402-873-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOYER",
        "first_name": "SAMANTHA",
        "middle_name": "JO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2021-07-07",
        "certification_date": "2021-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NE",
            "license": "2383",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nebraska City, NE

Sources for this page

Verify at the official NPI Registry.